Fixing Healthcare: A CFO's Playbook for Reclaiming $1,000–$4,000 Per Employee — with Donovan Pyle

<p>How does a professional drummer who toured with Heart and mixed for U2 end up becoming the Validation Institute&#39;s 2025 Benefits Advisor of the Year? In this episode, Rishi sits down with Donovan Pyle — CEO of Health Compass Consulting and author of <em>Fixing Healthcare</em> — to expose why healthcare has become the fastest-growing financial risk on construction P&amp;Ls, and what CFOs can actually do about it.</p><p>US employers spent $1.3 trillion on healthcare in 2024 — and roughly 25% of it, about $4,000 per employee per year, was pure waste. For a 100-person contractor running 2–3% net margins, that waste eats jobs. Donovan breaks down the hidden machinery: why legacy brokers get paid more when your costs go up, why most PBM contracts say the vendor has no obligation to act in your interest, and why &quot;healthcare just goes up every year&quot; is a story the industry tells to keep you out of the room.</p><p>Inside the conversation:</p><ul><li>The structural conflict of interest baked into the broker model (and why it&#39;s technically a prohibited transaction under federal law)</li><li>The Johnson &amp; Johnson case: a $10,000/month drug that cost $78 in cash</li><li>How a teachers union saved $3.6M by replacing one PBM — and how Blue Wave turned a 34% increase into a cost reduction</li><li>The fiduciary storm under the Consolidated Appropriations Act, and the personal liability CFOs don&#39;t know they carry</li><li>The Rosen Hotels playbook: $500M+ saved since 1991 with zero-deductible, value-based plan design</li><li>A Monday-morning action plan: pull your contracts, demand 408 compensation disclosures, and build a strategy instead of buying a plan</li></ul><p>Whether you&#39;re a construction CFO, HR leader, or any executive tired of watching your second-largest expense erode your margin, this is a roadmap for taking back control.</p><p>Learn more about Donovan&#39;s work at healthcompassconsulting.com and fixinghealthcare.com.</p><p><br></p><p><strong>#FixingHealthcare #ConstructionCFO #EmployeeBenefits #HealthcareCosts #FiduciaryDuty #CFMA #FinanceAtTheJobsite</strong></p>