{"podcast":{"title":"Relentless Health Value","slug":"relentless-health-value-872220","podcast_index_feed_id":872220,"rss_url":"https://healthvalue.libsyn.com/rss","website_url":"https://relentlesshealthvalue.com","image_url":"https://static.libsyn.com/p/assets/6/6/4/4/66448feffdf62b8940be95ea3302a6a1/22-RHV-0008_1400_pixel_web_art.jpg","author":"Stacey Richter","episode_count":645,"summary":"American Healthcare Entrepreneurs and Execs you might want to know. Talking. Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare. This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs. Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/relentless-health-value-872220"},"episode":{"title":"EP512: 3 Kinds of Broker/EBC Rent-Seeking Payment Models—A Lawyer's Perspective, With Doug Aldeen","slug":"ep512-3-kinds-of-broker-ebc-rent-seeking-payment-models-a-lawyer-s-perspective-with-doug-aldeen","published_at":"2026-05-27T17:01:00+00:00","page_url":"https://stenobird.com/podcast/relentless-health-value-872220/ep512-3-kinds-of-broker-ebc-rent-seeking-payment-models-a-lawyer-s-perspective-with-doug-aldeen","show_page_url":"https://stenobird.com/podcast/relentless-health-value-872220","url":"https://cc-lnk.com/EP512","audio_url":"https://traffic.libsyn.com/secure/healthvalue/RHV_EP512_Doug_Aldeen2.mp3?dest-id=197686","summary":"Stacey Richter interviews self-insured space attorney Doug Aldeen about how broker/employee benefit consultant (EBC) compensation arrangements lead to legal trouble and excessive plan costs. They discuss problems with overly complex or overpriced direct compensation, then cover three problematic payment-model categories: rent-seeking solution recommendations (e.g., reference-based pricing \"cost of savings,\" balance-billing programs, and voluntary benefits with front-loaded commissions), undisclosed vendor payments to brokers/EBCs that bias recommendations, and arrangements exploiting gray areas or weak enforcement under the Consolidated Appropriations Act (CAA), including PBM per-script payments disguised as \"discounts.\" Examples include an \"Ohio Potato\" level-funded case where broker fees depleted claims funds and a balance-billing vendor paid $2.2M to address only $94K risk. Aldeen offers a six-step roadmap: ask \"why\" repeatedly, calculate ROI, assess downstream risk, simplify/demystify compensation, run independent RFPs, audit claims/documents (including stop-loss gaps), ensure contract outs, and \"trust but verify,\" especially with entrenched public entities. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP512 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls= 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://ww…","meta_description":"Stacey Richter interviews self-insured space attorney Doug Aldeen about how broker/employee benefit consultant (EBC) compensation arrangements lead to leg…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2216,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/relentless-health-value-872220/episodes/ep512-3-kinds-of-broker-ebc-rent-seeking-payment-models-a-lawyer-s-perspective-with-doug-aldeen/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/relentless-health-value-872220/ep512-3-kinds-of-broker-ebc-rent-seeking-payment-models-a-lawyer-s-perspective-with-doug-aldeen.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}