Executives in the Dark
Executives in the Dark How to Get CEOs Asking the Right PBM Questions Executive Brief A Kaiser Family Foundation survey dropped a bombshell: "Employers Haven’t a…
Author: Steve Ditto
Steve Ditto is a healthcare executive, author, and advisor with more than 30 years of experience across employer health benefits, PBM contracting, healthcare analytics, digital health, physician performance, and health systems science. He is a Board Advisor to Nautilus Health Institute, a Fellow at the Thomas F. Frist, Jr. College of Medicine, leads Contract X-Ray, and is the author of The Middleman’s Cut and the weekly newsletter of the same name.
No More Excuses: 10 Terms Every PBM Should Accept
A Contract Compliance RFI helps test your PBM’s willingness to meet legal and fiduciary standards
PBM Reform Just Got Real
PBM Reform Just Got Real RFx Tools & Contracts You Can Use Executive Brief Employers are tired of PBM opacity. We've changed the game. Nautilus Health…
The Most Important Call Your CEO Hasn’t Taken Yet
The Most Important Call Your CEO Hasn’t Taken Yet Mark Cuban Is Ready to Dial In—Literally Executive Brief Why This Message Needs to Reach the C-Suite…
Lead with the Contract
Most PBM procurements get the sequence backwards: pick the PBM, then fight over the contract. That’s a recipe for weak leverage and fiduciary risk.
From Frustration to Fix: The PBM Field Guide
From Frustration to Fix: The PBM Field Guide We’re putting PBM procurement back in the hands of fiduciaries at RosettaFest Executive Brief Two Big Moments. One…
The Contract That Protects or Betrays
The Contract That Protects or Betrays When Fiduciary Duty Meets Contract Fine Print Most contracts protect the drafter. Healthcare vendor contracts go one step further: they…
PBM Procurement Without the Pain
PBM Procurement Without the Pain A New Open Source Tool to Cut Through Contracts, Conflicts, and Compliance Risks Executive Brief The biggest ERISA class-action lawsuits have…
When Fiduciary Duty Clashes With Civic Duty
When Fiduciary Duty Clashes With Civic Duty Should CEOs Join The Board Of A Hospital? Executive Brief You can’t serve two masters—especially when one sends your…
Popular Doesn’t Mean Prudent
Popular Doesn’t Mean Prudent The Hidden Risks of Voluntary Benefits—and the Fiduciary Blind Spot Letting It Happen Voluntary benefits may seem harmless—low-cost perks offered without employer…