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September 30, 2025 22 mins
Employers are footing the bill, but locked out of the details. In this episode of The Benefit Whisperer, Ralph Weber pulls back the curtain on how PPO contracts, TPAs, and PBMs are rigged to benefit everyone except the plan sponsor. Featuring insights from public-sector reformer and author Chris Deacon, this conversation breaks down: Why "discounted" claims may still be wildly overpaid How common gag clauses block your access to vital claims data What fiduciary duty actually requires — and how most plans are falling short A real-life example where $678K was billed... and $2.1M was paid Red flags in benefit contracts that should stop any employer cold Whether you're preparing for open enrollment or just trying to regain control of your health plan, this episode is your roadmap to asking smarter questions, and avoiding a costly healthcare heist. 🎧 Listen now📘 Buy the book: The Great American Healthcare Heist📨 Learn more at fixmybenefitsnow.com Schedule a free consultation with Ralph: https://calendly.com/ralph-weber-routethree?utm_source=emails&utm_medium=blubrry&utm_campaign=ep28&utm_id=podcast
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