Cora Opsahl, Director of the 32BJ Health Fund, plays a pivotal role in serving over 200,000 members by negotiating cost savings and improved healthcare benefits. In their conversation, they delve into the challenges of fiduciary duties and the entrenched status quo in healthcare. Opsahl shares how data analysis reshaped their benefit design and enabled significant savings by kicking a major hospital out of their network. The discussion highlights the importance of collaboration between employers and unions to tackle escalating healthcare costs and enhance member welfare.