In this episode, Butch Zemar chats with benefits vet Gary Blaum, who’s spent decades in the TPA and PBM trenches. Spoiler: PBMs were cooking the books, and Gary brought spreadsheets to the gunfight. After years of chasing down shady contracts, he found something better—Vitable—a fixed-cost primary care model that sends nurse practitioners to your employees’ homes. Yep, house calls are back, and no, it’s not 1942.

Employees love the zero copays. CFOs love the predictable costs. HR finally has a recruiting tool better than casual Fridays. With early diagnosis, real care, and a 3:1 ROI, this model doesn’t just bend the trend line—it dropkicks it.

As Gary says, “There’s no good reason not to do this.” Unless, of course, you’re emotionally attached to double-digit renewals.

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