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Episode 21 | Breaking the Healthcare Monopoly

Welcome back to "The Only Healthcare Podcast." This episode delves deep into the evolving landscape of healthcare policy in 2025. Hosted by Randy Vogenberg, PhD we are joined by special guest Jayson Slotnik, a seasoned health policy expert from Health Policy Strategies, LLC.

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In this episode of Only Healthcare, hosts Michael Navin and Dr. Randy Vogenberg welcome two healthcare transformation pioneers: Dave Chase, co-founder of Health Rosetta, and Steve Ditto, compliance advisor and founder of Ditto and Associates. Together, they reveal how employers can slash healthcare costs by 50% or more while improving employee benefits through strategic procurement and fiduciary compliance.


With decades of experience in healthcare technology and benefits consulting, Dave and Steve break down the systemic failures that have turned healthcare into a $5 trillion extraction machine, and more importantly, show the proven blueprint that thousands of employers are using to reclaim control and turn healthcare waste into business prosperity.


Key Topics Discussed:


  • The PBM Evolution from Helper to Extractor - How pharmacy benefit managers transformed from value-adding organizations in the early days to complex revenue extraction machines with up to 50 different revenue streams, now owning their own drug companies

  • The $540 Million Success Story - Real case study of Rosen Hotels (500-5,000 employees) saving cumulative millions through primary care focus, direct contracting, and PBM bypass strategies, enabling full college tuition coverage for employees and their children

  • Open Source Healthcare Revolution - Health Rosetta's $4 million investment in open-sourcing procurement standards, contracting templates, and data platforms through Nautilus Health Institute to democratize healthcare transformation

  • PBM Field Guide Launch - New standardized tools including RFPs, contract terms, and evaluation criteria to help employers and advisors navigate away from conflicted PBMs toward transparent alternatives

  • The fundamental insight: healthcare dysfunction isn't accidental—it's codified in legal agreements. But employers who embrace fiduciary responsibilities and apply basic procurement principles can achieve remarkable results, turning the 30-50% healthcare waste into a competitive advantage and employee prosperity.


Learn more about Rosetta Fest by clicking here. Disrupting Healthcare: Join the Brightest Minds, Leaders, and Change Makers at RosettaFest 2025 on August 24-27, 2025



For feedback or to suggest topics for future episodes, reach out to us at onlyhealthcarepodcast@gmail.com.


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Disclaimer:© 2025 Only Healthcare Podcast. All rights reserved.


This podcast and its content, including but not limited to audio recordings, images, and text, are the property of the Only Healthcare Podcast and are protected by international copyright laws. We appreciate all distribution and content sharing. Contact us at onlyhealthcarepodcast@gmail.com to access media kits, provide feedback, inquire about guest participation or to learn more. Thank you for listening!


Hosted by: Michael Navin & Randy Vogenberg, PhD


This Podcast is sponsored by:


Peek: Peek is reimagining access through innovation, technology, connectivity, and partnership. Peek offers a comprehensive and unique suite of solutions to help clients improve access and affordability for prescription drugs.


The Peek Meds Marketplace is one of Peek’s differentiated offerings that gives employers a revolutionary new approach to controlling runaway prescription costs for their employees by providing unprecedented transparency, simplicity - and cost savings. The Peek Meds Marketplace aggregates cash discount cards, manufacturer copay offset programs, and an employee’s insurance information to provide a holistic and personalized view of prescription price options. This easy-to-use platform offers a one-stop-shopping experience for prescription drugs.


Peek’s team has decades of experience in the pharmaceutical industry and offers various services to biopharma manufacturers, brokers, benefits consultants, third-party administrators and employers. Visit peekmeds.com to learn more.


Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/.





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