Broken Benefits

Hosted by Lee Lewis

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Aug 2026

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About the show

Whether you are the benefits manager or CEO of your organization, one of the biggest drivers of organizational performance, that most get totally wrong, is the health and benefits strategy. We spend billions on benefits, yet healthcare is unaffordable and complicated. More than half of Americans don't even take their paid vacation, yet people are burning out faster than ever and remote work is scrambling company cultures. It doesn't have to be this way! Great benefits can attract and retain top talent, communicate your values, rejuvenate your productivity, move your stock price, and even save lives. Lee knows this because he advised and learned from many Fortune 100 employers on how to create wildly profitable and popular benefits programs that enhance all areas of the business. Lee created this podcast in the hopes that together we can save lives, save dollars, and save our talent. Join us, each episode, on YouTube or your favorite podcasting platform for some great conversation with some of the world's leading experts in this space.

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38 recent

August 11, 202655 min

Stop Paying. Start Leading: Taking Control of Healthcare Strategy (Feat: Paul Dumas)

What happens when a benefits leader stops accepting rising healthcare costs as inevitable?For Paul Dumas, the answer was simple: start taking control.A longtime CHRO, Paul had spent decades approaching benefits much like many other employers do. Watch the trend. Build the budget. Work with the broker. Try to come in below the projected increase.That changed when his organization saw a 19.5% healthcare trend and was suddenly $15 million over budget after a single month, driven in large part by the rapid growth of GLP-1 utilization.That moment forced Paul to look much deeper into the healthcare ecosystem and question assumptions that had gone largely unchallenged.In this episode of Broken Benefits, Paul walks Lee Lewis through what he discovered, including misaligned incentives among brokers, PBMs and carriers, the difference between a discount and a genuinely good price, the problem with treating healthcare as a fixed expense, and why employers need greater independence and transparency throughout their benefits ecosystem.The conversation also explores Paul's approach to rebuilding the strategy from the ground up, including transparent broker compensation, a transparent PBM, an independent TPA, reference-based pricing, care navigation and a stronger emphasis on primary care.And the results were significant.Paul shares how his organization identified $8.5 million in hard savings in year one and approximately $24 million in year two, allowing the organization to reinvest those savings into total rewards, mental health and other areas that directly benefit employees.This isn't a conversation about simply cutting benefits.It's about asking a more important question:What if employers could spend less on healthcare while actually making the benefits experience better?That's the conversation.Chapters:0:00 Introduction: Why Healthcare Can't Stay a Fixed Cost 1:37 Paul's Journey Into Healthcare Strategy 4:09 The $15 Million Healthcare Wake-Up Call 6:18 Misaligned Incentives: Brokers, PBMs & Rebates 10:33 Why Employers Need to Take Back Control 16:25 The Problem With "Discounted" Healthcare 20:55 Rebuilding the Healthcare Ecosystem 25:20 What Happens When You Eliminate Rebates? 26:36 Primary Care, Navigation & Better Outcomes 28:48 $8.5 Million in Year-One Savings 29:09 $24 Million in Year-Two Savings 30:49 Reinvesting Healthcare Savings Into Employees 36:28 How Benefits Leaders Can Drive Change 42:47 The Playbook: Where Employers Should Start 48:11 Reference-Based Pricing & Regaining Control 54:08 Final Thoughts With Paul Dumas

July 14, 202654 min

The Business Case for Better Benefits (Feat: Scott Kirschner)

For years, employee benefits have been viewed as an unavoidable expense. Scott Kirschner believes that's the wrong way to look at them.In this episode of Broken Benefits, Lee Lewis sits down with one of the industry's most respected benefits leaders to explore how thoughtful benefits strategy can become a catalyst for business growth, employee engagement, and long-term organizational success.Rather than focusing solely on controlling healthcare costs, Scott explains why the most successful organizations approach benefits as a strategic investment. From building credibility with executive leadership to aligning benefits with broader business objectives, he shares the lessons learned throughout a career spent proving that better healthcare decisions can deliver measurable business value.The conversation explores why benefits leaders should think like business executives, how data and financial discipline influence decision-making, and why innovation often begins with asking better questions.Whether you're a benefits professional, HR executive, CFO, or business leader, this episode offers practical insights into transforming benefits from a cost center into a competitive advantage.Chapters:0:00 Introduction1:41 Why Better Benefits Are a Business Strategy5:12 The Biggest Mistake Employers Continue to Make10:03 Benefits Are About More Than Healthcare15:18 Creating Value Employees Actually Notice20:44 Why Cost Cutting Alone Doesn't Work26:07 Building a Benefits Strategy Around People31:54 The Data Employers Should Be Paying Attention To37:46 Measuring Success Beyond Claims Costs43:38 How Leadership Shapes Employee Experience49:57 The Future of Employer-Sponsored Benefits55:46 Final Advice for Benefits Leaders

June 17, 202650 min

Beyond Borders: What Global Healthcare Can Teach Employers

What happens when a practicing physician steps into the world of employee benefits?In this episode of Broken Benefits, Lee Lewis sits down with Dr. Lowell Fernander, a physician-turned-benefits executive whose career has taken him from healthcare systems in the United Kingdom and Europe to helping lead healthcare strategy for one of America's largest employers.Drawing on his unique experience in clinical medicine, health informatics, provider strategy, and benefits leadership, Dr. Fernander offers a rare perspective on the challenges facing healthcare today. From the philosophical differences between healthcare systems around the world to the realities of employer-sponsored healthcare in the United States, this conversation explores what employers can learn from global approaches to care delivery.Along the way, Dr. Fernander shares why benefits leaders have an enormous responsibility in shaping healthcare outcomes, how data can uncover opportunities for better care, and why collaboration across the healthcare ecosystem is essential if we hope to improve outcomes while controlling costs.If you're an employer, benefits professional, healthcare leader, or simply interested in the future of healthcare, this is a conversation you won't want to miss.Chapters:0:00 Every Healthcare System Has Problems0:28 Welcome to Broken Benefits1:25 How a Physician Ended Up Leading Benefits Strategy4:28 What America Can Learn from European Healthcare8:02 Is Healthcare a Right or a Privilege?10:42 Why the U.S. Healthcare Debate Misses the Point13:00 The Real Problem: Access to Care17:03 Healthcare Deserts and the Hidden Cost of Poor Access21:03 Employers Shape Healthcare More Than They Realize25:03 Why Data Is the Foundation of Better Benefits29:00 Looking Beyond Cost Savings33:00 The Employee Engagement Problem37:00 Building Better Healthcare Experiences40:00 The Impact of Social Determinants of Health44:00 Why Healthcare Is an Ecosystem Challenge48:02 Where Employer Healthcare Goes Next50:06 Closing Thoughts

June 2, 202657 min

From Accounting to Innovation: A Different Mindset for Better Benefits (Feat: Brian Duclos)

What happens when you put an auditor in charge of employee benefits?You stop accepting assumptions.In this episode of Broken Benefits, Brian Duclos shares how a non-traditional background in accounting and internal audit shaped his approach to benefits strategy—and ultimately led him to challenge many of the industry's long-standing norms.Rather than accepting annual cost increases as inevitable, Brian applies financial discipline, operational rigor, and data-driven decision-making to one of the largest expense categories organizations face. The result has been a series of innovative plan design strategies, stronger vendor accountability, and a fundamentally different way of thinking about benefits management.This conversation explores the importance of data ownership, performance guarantees, vendor oversight, and why benefits leaders should start thinking more like business operators.If you're responsible for managing healthcare costs, improving employee outcomes, or driving value from your benefits program, this episode offers a practical blueprint for doing things differently.Chapters:00:00 The Audit That Changed Everything00:26 Introduction to Brian Duclos01:16 From Accounting to Benefits Leadership04:16 Why Brian Left Internal Audit to Fix Benefits08:09 The Advantage of a Non-Traditional Background11:05 Challenging Industry Assumptions14:09 A Case Study in Benefits Innovation18:13 Why Operational Excellence Matters20:34 Building Innovative Benefits Strategies21:53 Start with the Data24:01 Turning Insights into Action25:36 Getting Team Buy-In for Change29:13 Psychological Safety and Innovation30:12 How to Sell New Ideas to Leadership33:00 Building the Executive Business Case34:56 Vendor Accountability and Performance Guarantees38:00 Finding Hidden Costs in Your Health Plan39:53 Following the Data to Better Outcomes43:10 Eliminating Misaligned Incentives in Healthcare45:12 Contracting, Transparency, and Employer Leverage47:42 Choosing the Right Advisors and Partners49:36 What Industry Conferences Actually Teach You51:33 The Traits of Successful Benefits Leaders53:15 Brian's Framework for Driving Change55:10 Final Advice for Benefits Professionals56:49 Closing Thoughts

May 5, 202649 min

No More Excuses: A Hard Look at Healthcare Reform (Feat: Chris Deacon)

In this episode of Broken Benefits, we’re joined by Chris Deacon, a leading voice in healthcare reform known for her direct, no-nonsense approach to fixing a system that too often fails the very people it’s meant to serve.With experience spanning both the public and private sectors—including leading one of the largest public health plans in the country—Chris brings a level of insight that few can match. Her work has consistently centered on one thing: demanding transparency, accountability, and real outcomes in healthcare.This conversation takes a hard look at the current state of the system, the structural issues that continue to drive inefficiency, and the opportunity employers have to take a more active role in shaping better solutions.If you’re tired of excuses and ready to think differently about healthcare and benefits, this is a conversation you won’t want to miss.Chapters:0:00 - Introduction1:45 - Change is accelerating5:58 - Tactical approaches in 202614:06 - How do we push back?20:18 - Examining high-cost claims26:02 - Fiduciary obligation to shareholders37:53 - Cleaning up messes vs. new things44:13 - What can I do right now?48:10 - Connect with Chris online

April 8, 202654 min

Beyond the Status Quo: Unlocking Opportunity in Benefits & Healthcare (Feat: Milt Ezzard)

In this episode of Broken Benefits, we sit down with Milt Ezzard, a Global Benefits and Mobility Leader, to explore the untapped opportunity that exists within today’s benefits and healthcare landscape.Too often, organizations operate within the confines of legacy systems and outdated thinking. But as Milt shares, those willing to challenge the status quo have a real chance to unlock better outcomes—for their people and their business.From global strategy to forward-thinking program design, this conversation dives into what it takes to move beyond maintenance mode and start building benefits strategies that truly create value.If you’re a leader looking to rethink your approach and capitalize on the opportunity in front of you, this is a conversation you won’t want to miss.Chapters:0:00 - Introduction1:47 - Being hesitant to try something new8:25 - Best practices for Milt16:20 - Getting back your control30:13 - Holding vendors accountable40:30 - Approaching AI products 46:32 - Building benefits that are loved51:21 - Leveraging Glassdoor53:26 - Closing remarks

March 18, 202655 min

Breaking the Trend: How Innovation Kept Healthcare Costs Flat for Decades (Feat: Todd Bisping)

In this episode of Broken Benefits, Lee Lewis sits down with Todd Bisping, Benefits Industry Innovator, to explore one of the most remarkable stories in employer healthcare strategy.For nearly two decades, Todd helped lead a benefits approach that achieved something most employers consider impossible: keeping healthcare cost trend flat while continuing to deliver meaningful value to employees.Rather than accepting the steady rise of healthcare costs as inevitable, Todd and his team took a different path — experimenting with new ideas, challenging industry assumptions, and focusing relentlessly on strategies that produced measurable results.In this conversation, Todd reflects on the lessons learned from years of leading benefits innovation, what it takes to implement change inside large organizations, and why employers have far more influence over healthcare outcomes than they often realize.If you’re a CHRO, benefits leader, or HR executive looking for real-world examples of what disciplined, long-term benefits strategy can accomplish, this episode offers both inspiration and practical insight.Chapters:0:00 - Introduction1:27 - The best part about running benefits plans8:59 - The misconception of innovating19:14 - Leveraging case studies 32:32 - Irrelevant strategies employers need to stop43:40 - Guiding your priorities50:50 - The value of pilot programs54:30 - Closing remarks

February 11, 202645 min

Creating Value and Visibility For Your Operation (Feat: Jason Dinerman)

On the latest installment of Broken Benefits, Lee Lewis sits down with Jason Dinerman, VP of Product Development & Global Benefits at Mastercard, to explore what it really takes to create value — and just as importantly, visibility — inside a modern benefits operation.Jason brings a rare blend of product thinking and global benefits leadership to the conversation. Drawing from his career journey, he shares how benefits leaders can move beyond administration and into strategic influence by clearly articulating impact, aligning with business priorities, and designing programs that are measurable, scalable, and understood.The discussion dives into how benefits teams can reposition themselves internally — not as cost centers, but as value creators. Jason explains how applying product development principles to benefits strategy can unlock stronger engagement, clearer outcomes, and greater executive buy-in.If you’re a CHRO, total rewards leader, or HR executive looking to elevate the strategic role of benefits within your organization, this episode offers a practical and forward-looking perspective on how to do it.Chapters:0:00 - Introduction1:37 - Leading US Health & Well-Being at Mastercard9:38 - The talent overlap between product development and benefits17:14 - Designing benefits that people ultimately value25:08 - Advice for today's benefits leaders33:32 - Look inward for the most valuable data39:00 - The future of transactions within healthcare44:44 - How to connect with Jason45:00 - Closing remarks

January 26, 202649 min

Cutting Through the Noise in Employer Healthcare Decisions (Feat: Matt Eurey)

In this episode of Broken Benefits, host Lee Lewis is joined by Matt Eurey, former Benefits Executive at Lowe’s and Time Warner Cable, for a wide-ranging conversation grounded in real-world experience managing benefits at scale.Matt brings a pragmatic lens to the challenges employers face as buyers in a healthcare system crowded with vendors, competing ideas, and constant pressure to “do something new.” Drawing on decades of leadership, he breaks down how organizations tend to approach innovation, why most employers fall into predictable patterns, and what it actually takes to move from reactive decision-making to thoughtful, long-term strategy.The discussion explores how benefits leaders evaluate risk, filter noise, and balance innovation with operational reality — especially inside large, complex organizations. Rather than chasing trends, Matt emphasizes the importance of clarity, discipline, and understanding where your organization truly sits on the adoption curve.This episode is especially relevant for benefits leaders, HR executives, and employers who want a more grounded perspective on what works, what doesn’t, and how to lead through complexity without losing sight of the people behind the plan.Chapters:0:00 - Introduction2:04 - Matt's background and path into corporate benefits7:15 - Is the reward worth the risk? 14:10 - Cutting your losses24:19 - Be a strategic partner and work collaboratively32:16 - Designing benefits that people love42:04 - Managing disruption among your members49:00 - Closing remarks

January 7, 202651 min

Taking Calculated Risks (Feat: Neil Larson)

In this episode of Broken Benefits, host Lee Lewis sits down with Neil Larson, Benefits Leader at a Global 500 employer and MIT MBA, for a candid conversation about risk, responsibility, and what it truly takes to change a healthcare benefits system that isn’t working.Drawing from his experience managing a massive, diverse health plan, Neil shares what benefits leadership looks like in the trenches — where decisions carry financial, operational, and human consequences. The discussion explores why incremental change often isn’t enough, how misaligned incentives quietly drive costs higher, and why taking calculated risks is sometimes the only path to sustainability.Together, Lee and Neil unpack what employers often misunderstand about risk tolerance, consulting relationships, and implementation realities — and why meaningful progress requires leaders who are willing to step off the paved road, ask harder questions, and demand better alignment from their partners.This episode is a must-listen for benefits leaders, HR professionals, and executives navigating rising healthcare costs while trying to protect both their people and their organizations.Chapters:0:00 - Introduction3:38 - Big risks that paid off in Neil's career12:54 - Getting your risky strategy approved27:20 - "What's the job to be done?"36:15 - Identifying crisp and clear KPI's48:13 - What vendors and consultants don't understand51:05 - Closing remarks