See what the middlemen hope you don’t.
Practical insights for executives, fiduciaries, advisors, and attorneys who sign, oversee, or advise on the deals.
No noise. No daily barrage. Just practical insight each Monday.
You have more power than you think.
See the money.
Follow the economics behind PBM contracts, pricing, rebates, fees, and the incentives that shape what employers and employees ultimately pay.
Know the terms.
Understand the contract language that determines transparency, accountability, flexibility, and whether the economics you negotiated are real.
Use your leverage.
Learn what good looks like, what to ask for, and how employers can use their fiduciary authority to demand better terms and better outcomes.
Written for the people who have to make the decisions.
The Middleman’s Cut is for executives, fiduciaries, advisors, attorneys, and others responsible for employer health-plan decisions.
Each issue turns complicated PBM economics, contract language, and fiduciary obligations into practical questions leaders can actually use.
The contract is the point of control.
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