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In this episode of the Only Healthcare Podcast, hosts Randy Vogenberg, PhD, and Michael Navin break down the biggest insights from Health Rosetta Fest 2025, recorded live in Denver, Colorado. With more than 1,200 attendees — including employers, brokers, plan advisors, innovators, and vendors — this year’s event highlighted a powerful shift toward employer-led healthcare transformation. Michael shares his firsthand experience from the conference floor, the launch of the Health Rosetta Navigator, and the growing emphasis on transparency, fiduciary responsibility, and smarter healthcare purchasing. The episode dives into policy conversations, emerging vendor solutions, direct primary care models, and the cultural mindset shift happening among employers who want to break free from the traditional healthcare system. You’ll also hear insights inspired by Chris Deacon, author of The Great Healthcare Heist, on the systemic challenges—including opaque broker contracts, state-driven insurance agreements, and misaligned financial incentives—that continue to burden employers and patients. Whether you’re an employer, a healthcare consultant, a benefits advisor, or simply someone seeking a better healthcare future, this episode offers a clear look at what’s changing—and what’s possible. Key Topics Covered -The growing movement of employer-driven healthcare reform -What the new Health Rosetta Navigator means for plan sponsors -How transparency, CAA compliance, and fiduciary rules are reshaping benefits -Direct primary care, on-site clinics, and real case studies from employers -AI’s evolving role in healthcare navigation and workforce transformation -Why culture and collaboration are driving meaningful change -Lessons from The Great Healthcare Heist on systemic inefficiencies Chapters 00:00 Welcome to the Only Healthcare Podcast 01:00 What is Health Rosetta Fest 2025? 03:20 Who attended and why it matters 06:50 The launch of the Health Rosetta Navigator 10:40 Transparency, CAA, and fiduciary challenges 14:20 Insights from The Great Healthcare Heist 18:50 AI and the future of care navigation 22:30 Direct primary care + on-site clinic success stories 26:40 Employer mindset shift and collaboration 29:00 Closing thoughts and looking ahead to Rosetta Fest 2026