Fixing Healthcare from the Inside Out: A CEO Playbook with Donovan Pyle
Fri Sep 26 2025
This week on Everything Is Up, Donovan Pyle breaks down the flaws in the U.S. employer-sponsored healthcare system and how legacy brokers profit when costs rise. He makes the case for fiduciary consultants—paid directly by employers—to bring transparency, accountability, and real value. Donovan shares why managing the healthcare supply chain, demanding data access, and engaging the C-suite are key to cutting costs and improving benefits. Plus, a preview of his upcoming book, Fixing Healthcare, a roadmap for reform that calls for transparency, fiduciary responsibility, and smarter consulting models to reduce waste and deliver better care.
Time Stamps
00:00 – Introduction
Welcome to Everything Is Up and introduction of Donovan Pyle.
06:40 – Legacy Brokers & Misaligned Incentives
Why brokers profit when healthcare costs rise.
11:20 – The Case for Fiduciary Consultants
How being paid directly by employers ensures transparency and value.
21:10 – Data Access Challenges
Why employers struggle to get claims data and why it matters.
27:45 – Engaging the C-Suite
Why executive involvement is crucial for cutting costs and improving benefits.
33:30 – Fixing Healthcare: The Book
A sneak peek at Donovan Pyle’s roadmap for healthcare reform.
38:00 – Closing Thoughts
Final takeaways on transparency, fiduciary responsibility, and new consulting models.
Quotes
"Most people realize the healthcare system is broken - I don't think they realize how broken it really is." -Tammera Hollerich
"We're on a mission to clarify what agent, broker, and consultant actually mean, and how they aren't the same." -Tammera Hollerich
"The moment I realized it was time to make a big change was when I got fired from a national brokerage firm for advocating on behalf of my clients." -Donovan Pyle
"Independent brokers were still getting paid by the carriers- they make more money when the employer's costs go up, not down." -Donovan Pyle
Websites
Tammera Hollerich
https://everything-is-up.simplecast.com/
https://tammerahollerich.com/
Donovan Pyle
https://fixinghealthcare.com/
https://donovanpyle.com/
More
This week on Everything Is Up, Donovan Pyle breaks down the flaws in the U.S. employer-sponsored healthcare system and how legacy brokers profit when costs rise. He makes the case for fiduciary consultants—paid directly by employers—to bring transparency, accountability, and real value. Donovan shares why managing the healthcare supply chain, demanding data access, and engaging the C-suite are key to cutting costs and improving benefits. Plus, a preview of his upcoming book, Fixing Healthcare, a roadmap for reform that calls for transparency, fiduciary responsibility, and smarter consulting models to reduce waste and deliver better care. Time Stamps 00:00 – Introduction Welcome to Everything Is Up and introduction of Donovan Pyle. 06:40 – Legacy Brokers & Misaligned Incentives Why brokers profit when healthcare costs rise. 11:20 – The Case for Fiduciary Consultants How being paid directly by employers ensures transparency and value. 21:10 – Data Access Challenges Why employers struggle to get claims data and why it matters. 27:45 – Engaging the C-Suite Why executive involvement is crucial for cutting costs and improving benefits. 33:30 – Fixing Healthcare: The Book A sneak peek at Donovan Pyle’s roadmap for healthcare reform. 38:00 – Closing Thoughts Final takeaways on transparency, fiduciary responsibility, and new consulting models. Quotes "Most people realize the healthcare system is broken - I don't think they realize how broken it really is." -Tammera Hollerich "We're on a mission to clarify what agent, broker, and consultant actually mean, and how they aren't the same." -Tammera Hollerich "The moment I realized it was time to make a big change was when I got fired from a national brokerage firm for advocating on behalf of my clients." -Donovan Pyle "Independent brokers were still getting paid by the carriers- they make more money when the employer's costs go up, not down." -Donovan Pyle Websites Tammera Hollerich https://everything-is-up.simplecast.com/ https://tammerahollerich.com/ Donovan Pyle https://fixinghealthcare.com/ https://donovanpyle.com/