Broken Healthcare

How One Woman Took On the Healthcare System — And Won | Broken Healthcare Podcast #45


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What happens when a CPA with a passion for following the money is handed a failing $200M state health plan? She rewrites the rules.


In this explosive episode of Broken Healthcare, host Ray Kober sits down with Marilyn Bartlett, the woman who dared to fire the PBM, cut out the middlemen, and bring real transparency to Montana’s state employee health plan. From exposing hidden costs to negotiating directly with hospitals using reference-based pricing, Marilyn’s story is a masterclass in financial guts and healthcare disruption.


💥 Learn how she turned a near-bankrupt health plan into a model of efficiency — without cutting employee benefits.


💼 Perfect for CFOs, HR leaders, benefits brokers, and anyone tired of the bloated U.S. healthcare system.


🧠 Topics Covered:


The truth about middlemen in healthcare


How reference-based pricing actually works


Negotiating with hospitals using Medicare as a baseline


Real numbers, real savings, and real pushback


🔍 This is the episode the healthcare industry doesn't want you to hear.

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Broken HealthcareBy Ray Kober

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