The Middleman's Cut newsletter

See what the middlemen hope you don't

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SEE THE MONEY
Understand who gets paid, how they get paid, and where incentives diverge from yours.

KNOW THE TERMS
See the contract provisions, practices, and hidden economics that determine what employers actually get.

USE YOUR LEVERAGE
Learn what sophisticated employers are changing and how better decisions can move the market.

I'm Steve Ditto. For more than 30 years, I've worked inside healthcare. The Middleman's Cut is where I share what I'm seeing now, especially the things employers are rarely told before they sign the deal.
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The Middleman's Cut is a product of Ditto and Associates. We're healthcare consultants, compliance advisers, and patient advocates with a focus on optimizing health plan performance.