The Middleman's Cut newsletter

See what the middlemen hope you don't

Practical insights for executives, fiduciaries, advisors, and attorneys who sign, oversee, or advise on the deals.

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The Middleman’s Cut is published by Steve Ditto and Ditto & Associates, focused on PBM contracts, fiduciary responsibility, and better employer health-plan decisions.

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.
Once you see it, you can change it.