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PBGH Advisory Services

Healthcare purchasing has never been more complex—or more scrutinized. New federal requirements, vendor conflicts of interest, and fiduciary lawsuits have raised the stakes for self-insured employers. Standard consultants aren’t always enough, especially when they’re also advising the carriers, TPAs and providers you’re negotiating against.

PBGH Advisory Services provides unconflicted strategic counsel to help you navigate high-stakes decisions, demonstrate fiduciary prudence, and optimize healthcare value—without the conflicts that compromise traditional benefits consultants.

PBGH member organizations receive access to actionable strategic guidance on a range of purchaser issues. PBGH Advisory Services steps in for consultation tailored to your specific needs with member-discount pricing.

What Makes Us Different:

  • Independent by design: No commissions, referral fees, or misaligned incentives. We work exclusively for employers—not for plans, TPAs, or providers you’re negotiating against.
  • 35+ years of employer advocacy: Pioneered direct contracting, Centers of Excellence, primary care transformation, and price transparency. Employers Centers of Excellence Network saved millions for Walmart, Lowe’s, and others.
  • Practical, hands-on support: Targeted expertise tailored to your organization and decisions—not boilerplate templates.
  • Transparent pricing: Mission-driven, conflict-free pricing.

What Advisory Services Can Do for You:

  • Fiduciary Governance: Educate internal peers, build committee structures, document decision-making, train teams on CAA compliance, create defensible governance that withstands scrutiny.
  • Transparency Data Analysis & Strategy: Leverage transparency data to identify overpayment, optimize value, validate consultant negotiations, and demonstrate fiduciary oversight.
  • Vendor & Consultant Management: Run independent RFPs/RFIs, benchmark fees, review contracts, and hold vendors accountable with performance standards.
  • Direct Contracting: Assess provider quality and value, negotiate competitive rates, and build Centers of Excellence, to deliver the best possible care to your workforce.
    Contract Review & Negotiation: Review and redline agreements, flag problematic terms, and support negotiations, thereby boosting your negotiating position at key moments.
  • Strategic Planning & Guidance: Help evaluate benefits programs and data, set priorities, develop strategy roadmap, offer independent and/or ongoing advisory guidance and implementation oversight in coordination with employer’s existing consultants.

Why It Matters Now

Major employers face lawsuits alleging they failed to prudently manage healthcare spending. Many benefits consultants have conflicts that can make it harder to demonstrate this prudence. We give you what they can’t: expert strategic counsel with no conflicts, and no compromises.

Contact

Aurora Chen
Vice President, Advisory Services
achen@pbgh.org

Fiduciary Services


Enhance your organizational governance with tailored structures, processes and oversight strategies designed to meet your specific needs, ensuring that you are operating with the highest level of fiduciary responsibility and efficiency.


Fiduciary Training and Learning

Read More about Fiduciary Training and Learning

Take advantage of customized training curriculum to align your benefits, compliance, finance and leadership teams on the complexities of CAA compliance, including gag clauses, governance oversight requirements, transparency requirements and more.


PBGH Health Care Data Demonstration Project

Read More about PBGH Health Care Data Demonstration Project

Gain powerful insights into real health care costs and quality. Download PBGH’s groundbreaking Health Care Data Project report today.


Supplier Accountability

Read More about Supplier Accountability

Ensure your TPAs, carriers, point solutions, and benefit consultants/brokers, are acting in your best interest and are providing you with valuable service at reasonable cost.


Contract Review and Negotiation

Read More about Contract Review and Negotiation

Ensure your vendor and service provider agreements and contracts are compliant with CAA rules and regulations.


Purchaser-Driven Contracting

Read More about Purchaser-Driven Contracting

A Collective, Stronger Approach for Employers to Secure Transparency & Accountability

Data Analytics Services


Network Optimization with Hospital and TiC Data (CAA Data)

Read More about Network Optimization with Hospital and TiC Data (CAA Data)

Using a unique combination of in-depth measurement and technical expertise in conjunction with newly available CAA data, gain the insights you need to make effective and efficient decisions on how to optimize your network in a specific geography and meet your fiduciary obligations.


Maximize available health and claims data to gain insights to ensure your vendors, providers and program effectiveness.


Data Vendor Selection and Plan Management

Read More about Data Vendor Selection and Plan Management

Get comprehensive, unconflicted assistance in the vetting and selection process of data vendors to optimize your health care spend.

Direct Contracting Services


Direct Contracting Support

Read More about Direct Contracting Support

Benefit from specialized expertise to develop and implement direct contracting strategies for better outcomes and lower total costs. Our comprehensive approach addresses all aspects of direct contracting, from assessing your unique needs to selecting partners and negotiating terms.


Contract Review and Negotiation

Read More about Contract Review and Negotiation

Ensure your vendor and service provider agreements and contracts are compliant with CAA rules and regulations.

Strategy Consulting Services


Supplier Innovation Summit

Read More about Supplier Innovation Summit

Enhance your program by partnering with top-tier suppliers who offer innovative solutions tailored to the evolving needs of your workforce.

Resources

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Transform Health Care Purchasing with Data Intelligence

Until now, it’s been impossible to know if you’re paying fair prices for the best health care, because true pricing data has been all but impossible to get — especially in a usable form. PBGH has now created a breakthrough health care data framework allowing you to aggregate and standardize transparency data from hospitals and health plans, integrate your claims data with price transparency data and incorporate quality and safety ratings to find the highest-value providers.

PBGH Direct Contracting Forum: Key Takeaways for Employers

What Employers Need to Know About Removing Gag Clauses from Health Care Contracts

Before the clock strikes midnight on December 31, 2023, private employers and other public health care purchasers will have been required to attest to their benefit plan contracts being free of gag clauses.

4 Steps for Large Employers to Meet Fiduciary Duties and Mitigate Legal Risk

The Consolidated Appropriations Act (CAA) has created both opportunities and risks for employers when it comes to overseeing employee health benefits.

A CFO’s Guide to Health Plan Fiduciary Leadership

The Consolidated Appropriations Act (CAA) of 2021 mandates employer access to new and critically important insights into the prices they’re paying for employee health care services.

4 Key Employer Health Trends for 2023

With the pandemic’s grip finally easing, employers are shifting their focus toward key objectives that can support sustained improvements in health care quality and meaningful reductions in cost.

Advice from a Purchaser Who Took on Health Care’s Status Quo and Won

Dig into the data. Read the fine print. Follow the money. That’s Marilyn Bartlett’s advice to employers and purchasers struggling to contain soaring health care costs and looking to gain greater transparency.