In this episode of ShiftShapers, host David A. Saltzman welcomes Dave Chase, co-founder of Health Rosetta, a movement that has become a national force in transforming employer-sponsored healthcare.

Dave shares the deeply personal story that drove him to create Health Rosetta and the powerful framework that emerged—one focused on transparency, outcomes, and economic sustainability.

The conversation explores how Health Rosetta empowers benefit advisors and employers to break free from the traditional health plan model, the crucial role of data access, and the open-source tools now available through Nautilus Health Institute. Dave also unveils the evolution of RosettaFest from an internal network event into the premier gathering for high-performance health plan innovators across the country.

👉 Join RosettaFest 2025 in Denver: https://rosettafest.org/
👉 Explore open-source tools from Nautilus Health: https://www.nautilushealth.org/

🤖 Sponsored by BenePower
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🔑 Key Takeaways from This Episode

📌 A Personal Tragedy Sparked a Movement
A system failure that devastated a friend’s life inspired Dave Chase to create a new framework for health plans.

📌 It All Starts with the Health Plan Contract
Perverse incentives and system dysfunction stem from opaque, outdated plan contracts—Health Rosetta sets a new standard.

📌 Training a New Class of Benefit Professionals
Health Rosetta focuses on empowering benefit advisors with the tools and standards to drive measurable change.

📌 The TPA, PBM, and Hospital Contracts Matter Most
Dave breaks down the three most critical contracts and how employers can renegotiate smarter, data-driven deals.

📌 Nautilus Health Is Open-Sourcing the Playbook
With $4M+ of legal, contracting, and tech investment, Health Rosetta is giving away the tools others would keep locked up.

📌 Unfettered Data Access Is a Game Changer
Claims transparency isn’t optional anymore—especially under the Consolidated Appropriations Act.

📌 RosettaFest Is the Epicenter for Innovation
Once closed-door, RosettaFest now brings together employers, advisors, clinicians, and tech innovators for radical collaboration.

⏱️ In This Episode

• 00:00 Introduction to Health Rosetta
  
  
  
• 01:02 Founding Story and Inspiration
  
  
  
• 02:11 Building the Framework and Ecosystem
  
  
  
• 08:28 Challenges and Pushbacks
  
  
  
• 16:08 New Developments and Future Plans
  
  
  

26:20 Conclusion and Final Thoughts