Breaking the Healthcare Monopoly | Episode 21 with Dave Chase and Steve Ditto

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

Hosted by:
Michael Navin & Dr. Randy Vogenberg

Michael's LinkedIn

Randy's LinkedIn

Sponsored by:
Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/.

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/.

Music by:
Hanu Dixit, https://www.youtube.com/hanudixit