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Category: Litigation

Court decisions, legal challenges, and litigation developments affecting employer health plans, fiduciaries, and healthcare intermediaries.

The PBM Breakup Letter

The PBM Breakup Letter

November 10, 2025December 2, 2025 Steve Ditto

The PBM Breakup Letter Employers Are Moving On Employers are finally deciding to end their toxic relationship with PBMs that overpromise and underdeliver. It's Not Us.…

Post read time 3 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
Executives in the Dark

Executives in the Dark

September 29, 2025December 2, 2025 Steve Ditto

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…

Post read time 6 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
The Most Important Call Your CEO Hasn’t Taken Yet

The Most Important Call Your CEO Hasn’t Taken Yet

September 8, 2025December 2, 2025 Steve Ditto

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…

Post read time 5 min read
Signed, Sealed… Sued?

Signed, Sealed… Sued?

July 14, 2025December 2, 2025 Steve Ditto

Signed, Sealed… Sued? If You Didn’t Write the Contract, You’d Better Rewrite the Rules. Most health plan contracts come pre-written—by brokers, vendors, or consultants. But when…

Post read time 4 min read
PBM Illusions, Exposed

PBM Illusions, Exposed

June 16, 2025December 2, 2025 Steve Ditto

PBMs thrive on confusion. Bold employers are demanding receipts—and revealing just how costly that confusion really is.

Post read time 4 min read

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