Sandy Smith
Market President and Publisher, Philadelphia Business Journal—Moderator
Pennsylvania employers face a paradox: world-class health systems, yet rising costs, inequitable access, and fragmented care. This recording brings together benefits leaders, labor representatives, and healthcare innovators to explore what it takes to close the gap—and what peers across industries are doing differently.
With opening remarks from Tom Belmont, president and CEO of Greater Philadelphia Business Coalition on Health (GPBCH), this event at the Union League brought together employers, labor leaders, benefits advisors, and healthcare providers to examine the paradox in practice—and what it takes to begin closing the gap.
Panel: Shaping smarter care decisions as an employer
Moderated by Sandy Smith, market president and publisher of Philadelphia Business Journal, the panel featured George Fiore, executive director of Chester County Intermediate Unit, James Startare, vice president of benefits at Aramark, Robert S. Bair, president of Pennsylvania State Building Trades, and Sunny Cutler, senior consultant at Lincoln Financial.
The panel explored how organizations across different sizes and sectors are rethinking their role as purchasers of care:
Access vs. outcomes: why proximity to great health systems doesn't guarantee great care
How cost disparity creates inequitable experiences for employees and plan members
Direct contracting, self-insurance, and benefits design as tools for affordability
What "activist purchasing" means in practice—and employer-led market disruption
Primary care as the foundation of benefits—and Pennsylvania's growing access crisis
Mental health as a workforce issue: how employers across sectors are responding
Fireside chat: When care is personal, outcomes follow
The fireside discussion featured Justin Bekelman, MD, co-founder and CEO of Daymark Health, and Nirav Vakharia, MD, chief operating officer of Marathon Health. This conversation between a primary care leader and an oncology innovator examined what relationship-based, integrated care looks like when it works—and the cost of late intervention:
Why consistent primary care relationships shape patient behavior and employer cost
What separates care models that drive outcomes from those that add complexity
Advanced primary care as an integration platform for point solutions and specialty care
How coordinated action at diagnosis shifts patient experience and cost exposure
What continuity of care requires from primary care, oncology, and employers
What you'll take away
Employers who move beyond incremental change see real results. By collaborating with labor groups and providers, organizations build the scale needed to drive meaningful market change—shifting from passive cost absorption to a proactive care strategy.
Market President and Publisher, Philadelphia Business Journal—Moderator
President and CEO, Greater Philadelphia Business Coalition on Health (GPBCH)—Opening remarks
Executive Director, Chester County Intermediate Unit
Vice President of Benefits, Aramark
Co-Founder and CEO, Daymark Health
Chief Operating Officer, Marathon Health
President, Pennsylvania State Building Trades
Senior Consultant, Lincoln Financial
The speakers in this recording are employer benefits leaders, labor representatives, a benefits consultant, and healthcare providers who are actively working through the problems that drive up costs and leave employees without the care they need. Their perspectives are specific, grounded, and candid.
From direct contracting and self-insurance to mental health access and cancer care navigation, the discussion moves through a range of strategies and honest assessments of where gains are being made and where challenges remain.
Watch to explore how employers across Pennsylvania are rethinking benefits design, primary care access, and care coordination—and what it takes to move from managing costs reactively to shaping care proactively.
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