PBGH Advisory Services

Healthcare purchasing has never been more complex—or more scrutinized. New federal requirements, vendor and consultant conflicts of interest, and fiduciary lawsuits have raised the stakes for 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.
• Practical, hands-on support: Targeted expertise tailored to your organization and decisions—not boilerplate templates.
• Transparent pricing: Mission-driven, conflict-free pricing.

Advisory Services Offerings

• Fiduciary Governance: Educate internal peers, build committee structures, document decision-making, train teams on CAA compliance, create defensible governance that withstands scrutiny. 
• Transparency & Data: Move transparency data to actionable insights that identify overpayment, optimize network value, validate consultant negotiations, and demonstrate fiduciary oversight, delivered through the Health Transparency Atlas.  
• Vendor & Consultant Management: Conduct independent RFIs and RFPs, benchmark fees, and deliver objective vendor reviews to hold vendors, consultants, and brokers accountable. Support broker and consultant searches that meet employer standards. 
• Network Design & Direct Contracting: Assess provider quality and value, negotiate competitive rates, establish contracting standards and frameworks, 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 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.