A CEO said that to me. Not “cut my costs.” Not “find me something cheaper.” He offered to pay nearly a million dollars for the one thing nobody would sell him: a number that stays put for three years.

Sit with how strange that is. A buyer begging to spend more – and the market has nothing on the shelf.

You already pay for predictability everywhere

Fixed rates instead of variable. Multi-year vendor contracts. Hedges on fuel, currency, materials. You pay premiums all over your business to make numbers stop moving, because stable numbers let you plan, price, and borrow with confidence. This is basic financial management.

Then the health plan walks in with a one-year term and a fresh repricing every renewal, and everyone shrugs.

Why nobody sells it

Annual repricing is not an accident of the market. Every year of volatility creates another negotiation, another commission cycle, another number you cannot plan around. For the people who assemble your renewal, volatility is the business model. (You have met the business model. It shows up every October.)

Predictability is built, not bought

No carrier hands out a guaranteed three-year number. But you can design toward one: structures that cap your exposure, contracts that span more than a single plan year, transparency that removes the annual surprise before it gets assembled. It takes engineering and runway – which is exactly why this work starts mid-year, not at renewal.

The math the quote already did

That CEO was not being dramatic. He had done the math on what a stable number is worth to planning, pricing, and borrowing. $900K was his price for certainty.

What is yours? Let’s find out what a designed-for-stability plan looks like. [LINK]

ABOUT THE AUTHOR

Allison De Paoli

Allison De Paoli has been solving the healthcare crisis for employers who were sure there was nothing they could do to control their costs or create a better healthcare experience for their employees.

She co-authored the Amazon Best-Seller Breaking Through the Status Quo: How Innovative Companies are Changing the Benefits Game to Help Their Employees and Boost Their Bottom Line and was recognized as a 2019 Top Woman in Advising by BenefitsPRO.

Her work has since earned additional industry recognition, including Most Effective Benefits Consultant, NextGen Benefits Network Advisor of the Year, YouPowered Most Innovative Healthcare Consultant, and 2026 BenefitsPRO Advisor of the Year.

In 2024, her work and perspective on healthcare were also featured in the documentary It’s Not Personal, It’s Just Healthcare.

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