If you’re an employer, you’re one of the largest purchasers of healthcare in the U.S.—and somehow you have the least control.

This is a summary episode of our conversation with Nurse Deb (Deb Alt), President of AIMM, and it drops right after the turn of the calendar—Happy 2026—in what many are calling the worst renewal season in years.

Here’s the hard truth:
If you didn’t do anything different during renewal… why did you expect a different result?

In this recap, Lester breaks down the mindset shift employers (and advisors) must make to stop being passive victims of a system designed to be opaque—and start acting like real purchasers.

We cover:

• Why healthcare is confusing on purpose (and how it mirrors getting a grocery bill with zero itemization)

• The dangerous gap: employers scrutinize paperclips, but not their 2nd/3rd largest expense

• Why consumers research cars, flights, and concerts—but not surgeons, facilities, or cost differences

• What changes when you build a plan around advocacy (call the nurse first)

• The uncomfortable “wait, what?” reality of misaligned incentives in healthcare and advisory models

• Why raising deductibles and payroll contributions is not a strategy—and never bends the curve

If you’re an employer, ask yourself:
Do I actually see my claims? Do I get data? Do we do pre-renewal?
Or am I stuck in “thank you sir, may I have another”?

If you’re an advisor:
If your entire book is carrier-centric, this is your challenge to rethink what “advising” really means.

Watch/listen with one goal: What’s one thing I can take from this episode and do differently this year?

Like, share, and comment what topics you want next—and if you haven’t heard the full episode with Nurse Deb, go listen to it right after this.

What if the fastest way to lower healthcare costs… is to finally put the patient at the center?
In this powerful conversation, host Lester Morales sits down with Deb Alt — “Nurse Deb” — Founder and President of AIM, a team of nurses and physicians who guide patients through the two most confusing systems in America: healthcare delivery and health insurance.

This episode exposes the misaligned incentives that keep costs rising, why patients actually get worse outcomes with traditional navigation, and how a nurse-led model radically improves both quality and affordability.

Deb breaks down:

• Why patients—not doctors—should handle prior authorizations

• How top-quality care is actually cheaper in a fee-for-service system

• Real stories of redirecting patients to better outcomes for $0 out-of-pocket

• Why 64% of Americans avoid care because of cost fears

• How employers can eliminate deductibles + copays and STILL spend less

• The cultural shift required to make employees want to call the nurse

• Why the MLR (Medical Loss Ratio) rule keeps insurers from lowering claims costs

• The math behind Deb’s ability to cut claim spend 50% in year one

Whether you're an employer, CFO, advisor, or simply someone who’s felt lost inside the healthcare maze, this episode is a masterclass on how real change happens.

This isn’t concierge care. It’s the way healthcare should have worked all along.

📌 Want an analysis of your plan data or a clinical quality breakdown?
Use the link in the show notes to request the free assessment Deb mentions.

In our final episode of the year, Lester J. Morales shares the real why behind moving from Impact Healthcare to Dysrupt Healthcare. This isn’t a cosmetic change—it’s a sharpened mission informed by everything we learned this season: self-funding that actually bends the curve, PBM transparency, employer-led innovation, and data over hype.
Here’s the blueprint for the next chapter:

• Keep the straight-talk interviews with advisors, clinicians, employers, and operators.

• Add case files where costs drop and outcomes rise—“with the receipts.”

• Ship practical Monday-morning playbooks you can run in the wild.

• Elevate patient and employer voices to anchor what truly matters.

Key takeaways

• The strategic reason for the shift—and why now.

• What stays: candor, data, employer-first lens.

• What’s new: deeper case studies + step-by-step execution.

• How this community moves from insight to repeatable systems in the new season.

Follow Dysrupt Healthcare Podcast, share this finale with your team, and send the case studies you want dissected next season. We have been dysrupted—and we’re ready.