Healthcare is swallowing budget and patience at the same time, and much of it is unnecessary. We sit down with Donovan Pyle, CEO of Health Compass Consulting and author of 'Fixing Healthcare', to expose where employer dollars leak out of the system and how to plug those holes without sacrificing benefits. Donovan has helped organizations with tens of thousands of employees save four figures per employee per year, and he explains why the fix starts with incentives, contracts, and visibility, not another network discount.

We trace Donovan’s journey across carriers, brokerages, and consulting to show how misaligned incentives became the norm. You’ll hear how ACA medical loss ratio rules pushed insurers to vertically integrate with PBMs, why spread pricing inflates drug costs, and how cash prices can undercut “negotiated” rates. We break down the playbook employers can use now: request the 408(b)(2) broker compensation disclosure, move to a fiduciary advisory model, run a true PBM RFP with pass-through terms and audit rights, and carve out shoppable services with bundled prices at centers of excellence. Donovan shares examples from large employers and a teachers’ union that saved millions by changing one contract.

If you think health plans are fixed products, this conversation reframes them as a vendor stack you control. From specialty drug sourcing to bundled surgery “futures,” there are practical ways to buy care like a world-class procurement team: with transparent pricing, competition, and measurable quality. The result isn’t just lower spend; it’s better access, fewer billing surprises, and benefits employees actually feel. Ready to stop paying more for less? Listen, take notes, and start with one move this quarter, ask for the 408 disclosure and audit your PBM terms.

Reach Donovan here:
www.FixingHealthcare.com
Donovanpyle.com
healthcompassconsulting.com
www.linkedin.com/donovanpyle
Get the book: "Fixing Healthcare' https://amzn.to/43hvjgb

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