How to Get Real Value From This Newsletter
How to Get Real Value From This Newsletter Welcome! Let’s Get You Oriented. If you’re new(ish) or haven’t yet explored all the newsletter issues, this is…
Category: Fiduciary Leadership
Practical guidance for executives, boards, and benefits leaders on healthcare fiduciary duties, governance, and oversight.
Legal Doesn’t Mean Ethical
Legal Doesn’t Mean Ethical Fiduciaries Should Know the Difference Executive Brief Let’s say the quiet part out loud:Rebates take money from sick employees and help discount…
Whose Money Is It, Really?
Whose Money Is It, Really? The Rebate Dilemma Why fiduciaries must confront the conflict no one talks about Executive Brief It's Not About Percentages. It’s About…
The Rebate Trap
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…
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…
The Death of Common Sense
When Five-Figure Pills Deliver Three-Week Benefits, Fiduciaries Must Intervene
The Fiduciary Lawsuit That Could Change Everything
The Fiduciary Lawsuit That Could Change Everything No More “We’re Just Administrators” TPA Defense Executive Brief Can a TPA avoid ERISA liability by calling itself an…
Employers Say They Put People First
Employers Say They Put People First Until Someone Gets Sick When that spreadsheet-driven plan design causes delays, denials, or dropped coverage, it’s not just a bad…