How Employers Can Use Their Buying Power to Change Healthcare for Good cover art

How Employers Can Use Their Buying Power to Change Healthcare for Good

How Employers Can Use Their Buying Power to Change Healthcare for Good

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In our latest episode, Peter Boland explores a transformative question: What if employers used their full leverage to reshape employee healthcare — and invested the savings back into their communities?


Most U.S. employers have enormous purchasing power and a unique relationship with their workforce, yet often act as passive consumers of traditional insurance products. Peter Boland argues that this status quo is not inevitable — and shares examples of what’s possible when employers become proactive health investors instead.


Peter Boland breaks down the Health Rosetta model, built around eight core components:

  • Transparent networks with known prices and outcomes
  • Individualized health stewardship
  • Advanced primary care with aligned incentives
  • Active, independent plan management
  • Transparency in pharmacy benefits
  • Rigorous oversight of major and outlier cases
  • High-performance plan design
  • Transparent, aligned relationships with benefits advisors


In short: Remove conflicts of interest, align incentives, and focus on actual outcomes.


With proven models and compelling results, Peter Boland challenges employers to stop being passive purchasers. The tools and blueprints are already here; what’s needed is a proactive choice at the board level to invest wisely—and reinvest dividends back into the community.

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