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Category: Contracts & Terms

Healthcare contract provisions, transparency, accountability, negotiating terms, and protections for employers and plan participants.

The Rebate Trap

The Rebate Trap

November 17, 2025December 16, 2025 Steve Ditto

The Rebate Trap Why Employers Won’t Let Go And Why Fiduciaries May Not Have a Choice Much Longer Executive Brief Rebates have become the duct tape…

Post read time 5 min read
Blueprints and Benchmarks

Blueprints and Benchmarks

November 3, 2025December 2, 2025 Steve Ditto

From model clauses to measurable proof, Nautilus is turning transparency into a standard everyone can trust.

Post read time 4 min read
How Collective Action Fixes a Broken System

How Collective Action Fixes a Broken System

October 27, 2025December 2, 2025 Steve Ditto

How Collective Action Fixes a Broken System The Fiduciary Network Effect Most employers still approach fiduciary reform as a solo project: negotiate with the PBM, fix…

Post read time 3 min read
Transparency, Tested

Transparency, Tested

October 6, 2025December 2, 2025 Steve Ditto

What Happens When “Transparent” PBMs Fail A Fiduciary Audit

Post read time 3 min read
No More Excuses: 10 Terms Every PBM Should Accept

No More Excuses: 10 Terms Every PBM Should Accept

September 22, 2025December 2, 2025 Steve Ditto

A Contract Compliance RFI helps test your PBM’s willingness to meet legal and fiduciary standards

Post read time 3 min read
PBM Reform Just Got Real

PBM Reform Just Got Real

September 15, 2025December 2, 2025 Steve Ditto

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…

Post read time 2 min read
Lead with the Contract

Lead with the Contract

September 2, 2025December 16, 2025 Steve Ditto

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.

Post read time 2 min read
From Frustration to Fix: The PBM Field Guide

From Frustration to Fix: The PBM Field Guide

August 26, 2025December 16, 2025 Steve Ditto

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…

Post read time 3 min read
The Contract That Protects or Betrays

The Contract That Protects or Betrays

August 18, 2025December 16, 2025 Steve Ditto

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…

Post read time 3 min read
PBM Procurement Without the Pain

PBM Procurement Without the Pain

August 11, 2025December 2, 2025 Steve Ditto

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…

Post read time 4 min read

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