The ShiftShapers Podcast

EP 544 Healthcare Costs Keep Rising Because Prices Stay Invisible - with Katy Talento

Published: April 14, 2026

Duration: 35:48

Healthcare stays expensive because the system hides prices and quality from the people paying for care, especially employers. We talk with Katie Talento about how CAA 2026 transparency and Department of Labor fiduciary rules could expose PBM practices, reshape contracting, and give plan sponsors real leverage if enforcement follows.

• Why invisible prices and invisible quality break the healthcare market 
• How incentives and lobbying protect opacity across hospitals, PBMs, insurers and drugmakers 
• Why Washington lacks ERISA and employer-plan expertise 
• What CAA 2026 changes for PBM disclosures and fiduciary responsibility 
• How “check the box” compliance can fail without enforcemen...