Tag: PBM transparency

What If Your Most Valuable Health Plan Asset Is the Data You’ve Never Seen? (Ep. 36)

What If Your Most Valuable Health Plan Asset Is the Data You’ve Never Seen? (Ep. 36)

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Welcome to The Benefit Whisperer, where we decode the nonsense in healthcare.

In this episode, Ralph Weber is joined by Chris Condeluci, one of the nation’s leading ERISA and healthcare transparency attorneys. Chris argues that pricing data and claims information aren’t just useful, they’re plan assets under ERISA. And if that’s true, carriers, TPAs, and PBMs may be fiduciaries… whether they like it or not.

This episode unpacks:

  • Why plan sponsors can’t meet fiduciary duty without full data access
  • How compensation disclosure rules are tightening around PBMs and TPAs
  • What’s coming in “Transparency 2.0” and routine audits
  • Why regulators may soon force carriers to open the books — or face liability

If you’re an employer, consultant, or HR leader tired of flying blind, this is the episode you can’t afford to skip.

Schedule a FREE CONSULTATION with Ralph: bit.ly/3Y5Gkhu

Learn more: https://fixmybenefitsnow.com
Contact Ralph: ralph@thebenefitwhisperer.com

$11M on a $996K Bill? Dave Chase of Health Rosetta Unpacks the Hidden Trap (Ep. 17)

$11M on a $996K Bill? Dave Chase of Health Rosetta Unpacks the Hidden Trap (Ep. 17)

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Most employers have no idea what’s really driving their skyrocketing healthcare costs, and it’s not just medical inflation. It’s the contracts they’ve already signed.

In this episode of The Benefit Whisperer, Ralph Weber sits down with Dave Chase, founder of Health Rosetta, to uncover the hidden clauses and incentives that enrich insurers, PBMs, and hospital systems at the expense of your people and your bottom line.

You’ll learn:

  • How one employer paid $4 million on a bill originally priced at $996,000, all because of contract loopholes

  • Why anti-steerage clauses prevent you from guiding employees to safer, higher-value care

  • How access to your own data is the single biggest predictor of plan performance

  • The dirty truth behind PBM rebates, offshore GPOs, and the 50+ revenue streams you never see

  • What it takes to cut your per employee costs by 35%, without compromising care

If you’re a CEO, CFO, HR leader, or benefits advisor ready to stop feeding a system that’s rigged against you, this is the episode to hear.

🔍 Learn more at thebenefitwhisperer.com

📞 Book a free consultation: bit.ly/4nNI4I3

Connect with Ralph Weber
LinkedIn: Ralph Weber
Email: ralph@thebenefitwhisperer.com

Connect with Dave Chase
Health Rosetta: healthrosetta.org
LinkedIn: Dave Chase