The next evolution in fiduciary reform is happening in plain sight.
From model clauses to measurable proof, Nautilus is turning transparency into a standard everyone can trust.
The Problem
“We must all hang together, or assuredly we shall all hang separately.” – Benjamin Franklin
Ben Franklin
Franklin said it in 1776. Fiduciaries could say it today.
Every PBM contract is a one-off. Every employer starts from zero. Every lawyer fights the same fight all over again.
The result?
Lax compliance
Missing protections
Wasted money
Avoidable risk
The system doesn’t lack smart and committed people. It lacks shared standards.
Nautilus is where we finally start to all hang together.
The Breakthrough
What healthcare can learn from the building industry.
When the American Institute of Architects (AIA) standardized construction contracts, the entire industry transformed.
Projects ran faster. Disputes dropped. Quality rose.
AIA didn’t eliminate lawyers. It empowered them with shared terms and model agreements that made collaboration faster, clearer, and more trustworthy.
That’s transparency through structure.
Then came LEED certification, which did for accountability what AIA did for clarity.
LEED created measurable benchmarks for building performance. LEED became a visible standard rewarding those who proved their results. Once enough owners and builders adopted LEED, sustainability wasn’t a claim. It was a credential.
That’s proof through measurement.
“Healthcare needs its own LEED moment,” says Dave Chase, Health Rosetta co-founder and long-time advocate for systemic reform.
“We need visible standards that reward those who actually deliver better outcomes and lower costs.”
Nautilus is the direct continuation of that vision combining AIA-style blueprints for fiduciary contracts with LEED-style benchmarks for proof.
The result: a system that moves faster, costs less, and rewards transparency by design.
Blueprints for Transparency
Nautilus was born from the same philosophy that inspired Health Rosetta: a belief the only way to fix healthcare is through repeatable models that reward what works.
As co-founders Dave Chase and Sean Schantzen wrote when they introduced the Nautilus Health Institute:
“We’re creating healthcare’s equivalent of LEED and AIA. Open standards defining transparency and performance, and a validation process that proves it.”
That’s exactly what the Nautilus Model Contract Library delivers. It defines what fiduciary-grade transparency looks like. From spread pricing prohibitions and rebate pass-through to data access, audit rights, and clinical governance.
Each employer who adopts these clauses strengthens the shared framework.
Each PBM that signs them reinforces the standard.
And every lawyer who works within them helps move the system closer to trust by design.
Transparency stops being a marketing slogan or a negotiation tactic. It becomes a proof point and default setting for fiduciary alignment.
Benchmarks for Proof
Standards only matter if you can measure them.
That’s where the Nautilus tools come in:
Contract X-Ray → reveals what’s missing
Configurator → translates findings into RFI/RFP language
Benchmarking → compares outcomes across employers
Validation → confirms PBMs meet fiduciary standards in practice
Together, they turn contract terms and data into “true transparency.” The same way LEED turned “green” from a buzzword into a measurable badge of proof.
The result? Fiduciary compliance. Efficient procurement. Lower costs. Better benefits.
Systemic Impact
Every contract analyzed through Nautilus makes the next review smarter. Each correction feeds the shared repository. Each repository update strengthens future reviews.
That’s the Fiduciary Network Effect in action. Collective intelligence compounding with scale.
As more PBMs and employers adopt these fiduciary-grade blueprints, opacity loses its cover.
100+ page single space contracts.
Vague terms.
Hidden fees.
They all stand out like cracks in glass.
Impossible to ignore once the light hits.
When transparency becomes standardized, fairness becomes inevitable.
Blueprints and Benchmarks
Call to Action: Join the Nautilus Proof Movement
📄 Send us your PBM contract → We’ll run a Contract X-Ray. 📊 See how it compares to fiduciary-grade standards. 🤝 Collaborate with lawyers, advisors, and PBMs who build from the same blueprint.
Be part of the proof, not the problem.
Let’s make Blueprints and Benchmarks the new industry standard.
A Note of Appreciation
Dave Chase
Dave Chase, is a co-founder of Health Rosetta and the Nautilus Health Institute, a 501(c)(3) nonprofit initiative launched with $4 million in Health Rosetta intellectual property and investment. Dave has helped transform healthcare for thousands of employers covering millions of Americans. His efforts have grown into a movement with thousands of sustainable successes that deliver superior care at 20-50% lower costs.
Sean Schantzen
Sean Schantzen, is a co-founder of Health Rosetta and the Executive Director of the Nautilus Health Institute. Sean and Dave created Nautilus to establish open-source standards, model contracts, and data platforms to make fairness, accountability, and measurable outcomes the new norm in healthcare.
Visit nautilushealth.org/pbmto find educational resources, procurement tools, model contract terms, the PBM Configurator, and other tools.
💸 SPECIAL OFFER: Newsletter subscribers receive 10% off any Validation Institute service. Use code FIDUCIARY10 at checkout.
validationinstitute.com
📬 PAY IT FORWARD: Feel free to forward this offer to your broker, PBM, or other vendors. Don’t hesitate to tell them you will favor validated vendors as part of your modernized procurement processes. Strong compliance and better benefits begin with validation.
Don’t be a bystander. Change the status quo and reap the benefits of The Health Plan Compliance Advantage.
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