Relentless Health Value EP496: Plan Sponsors Spend About $1.20 to Buy $1 of Healthcare, and Clinical Organizations Receive 80¢ for Every $1.20 Spent, With Mark Newman
Jan 8, 2026
Mark Newman, Founder and CEO of Nomi Health, shares insights on simplifying healthcare purchasing for self-insured employers. He highlights the shocking statistic that employers spend $1.20 to buy $1 of care, pointing out the administrative waste in the system. Mark discusses the misalignment of data between providers and employers, which complicates collaboration. His company’s innovative pilot program, which eliminates copays and reduces costs by 38%, showcases a new model to enhance care accessibility while lowering expenses.
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Claims Data Loses Its Truth In Transit
- Claims data mutates as it passes between providers, payers, and employers, so nobody retains a single source of truth.
- Mark Newman says this fragmentation prevents effective collaboration and makes negotiation and analytics unreliable.
Create One Shared View Before Negotiation
- Build shared definitions and a single analytic view before trying to negotiate or collaborate across stakeholders.
- Stacey Richter and Mark note that effective collaboration requires everyone to 'speak the same language' on claims and fields.
The Same Dollar Means Different Things
- Different parties count the same healthcare dollar differently because of member responsibility and collection outcomes.
- Newman explains employers, payers, and providers often end up speaking three different financial languages about the same spend.
