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How to Successfully Manage a Half-Billion-Dollar Healthcare Budget | Brian Marcotte

What does it take to manage a half-billion-dollar healthcare budget and keep costs flat year after year?

In this episode of Margin of Care, host Kirk Czonstka talks with Brian Marcotte, former President and CEO of Business Group on Health and longtime benefits leader at Honeywell and Marriott. Brian shares how he balanced cost control with innovation—rolling all benefits costs into one budget, partnering with finance and procurement, and holding vendors accountable for outcomes.

He also breaks down how employers can adopt outcomes-based pricing, improve vendor ROI, and make benefits strategy more relevant to employees through real-world use cases and clear communication.

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