What does it take to manage a half-billion-dollar healthcare budget and keep costs flat year after year?

In this episode of Margin of Care, host Kirk Czonstka talks with Brian Marcotte, former President and CEO of Business Group on Health and longtime benefits leader at Honeywell and Marriott. Brian shares how he balanced cost control with innovation—rolling all benefits costs into one budget, partnering with finance and procurement, and holding vendors accountable for outcomes.

He also breaks down how employers can adopt outcomes-based pricing, improve vendor ROI, and make benefits strategy more relevant to employees through real-world use cases and clear communication.

Key Takeaways:

• Why combining all benefits costs into one flexible budget drives better decision-making
• How close alignment with finance and procurement enables stronger ROI and vendor accountability
• Why outcomes-based pricing and performance guarantees are gaining traction
• How to use real employee scenarios to communicate value and increase engagement
• What employers should expect next as digital health solutions consolidate