Practical insights for the people who sign the deals.
A weekly briefing on PBMs, contracts, employer health benefits, and the decisions that shape outcomes.
Executive Brief An audit is how a promise becomes collectible. Everything you negotiated, every guarantee, every pricing term, is an assertion until someone independent checks it.…
Executive Brief “The question is,” said Alice, “whether you can make words mean so many different things.” “The question is,” said Humpty Dumpty, “which is to be…
Executive Brief Last week at RosettaFest, Cristy Gupton told me our motto should be “stop signing stupid contracts.” The line gave me a real chuckle. She's…
Special Announcement Same Newsletter. New Name. Eighteen months ago this newsletter started as The Health Plan Compliance Advantage, and compliance was the right frame for the…
Short Note. Big Week. The full issue arrives Thursday, with announcements attached. Executive Brief We've been working toward this week for a while. Lots of Nautilus…
The Middleman's Cut Is Here The leadership playbook to stop the middlemen bleeding your employer health plan dry Executive Brief For the past several weeks, we've…
What Good Looks Like The three terms everyone claims. Now measured. Executive Brief Every PBM claims transparency. Every PBM claims pass-through. Every PBM claims fiduciary alignment.…
Built to a Different Standard What 58 contracts reveal about the one you signed. Executive Brief Last week we established the stakes. The CAA made the…
Trust Is Not a Fiduciary Strategy Why “I trusted them” stopped being a defense Executive Brief For years, the pharmacy deal ran on trust. You read…
Contract Provisions That Fail Most Often What the Nautilus Database Shows Executive Brief Last week we introduced the Data Sovereignty Index.This week we open the database…
