EPISODE · Aug 3, 2026 · 42 MIN
Healthcare Costs Skyrocketing | So What They're Not Telling You
from Knack 4 Business · host Nate Hallums, Bernie Franzgrote
GROWTH PILLAR: Health & WellnessWHO THIS IS FOR: SMB owners · Solopreneurs · HR advisors · Leaders building systemsWHAT THEY'LL GAIN: A clear picture of how wellness plans actually work, how to fund them without new out-of-pocket costs, and why participation rate is the number that matters most. Most business owners are paying more for healthcare every year and getting less in return. That's not bad luck. That's a system working exactly as designed. Nate Hallums has spent over 30 years helping businesses stop reacting to healthcare costs and start building around them. After starting his career at IBM, he built BYF Consulting and Backyard Fishing Agency around one core idea: wellness should prevent problems, not just respond to them. In this episode, Nate breaks down the difference between major medical plans and true wellness programs, explains how mental health sits at the foundation of everything else, and walks through why GLP-1 drugs — offered at up to 90% below market price through the right plan — are changing the conversation for employers and employees alike. He explains how companies with as few as 10 employees can use a FICA-based tax savings structure to fund wellness coverage with no new out-of-pocket cost for employer or employee. He draws a straight line from the 401K revolution of the 1970s to where tax-advantaged wellness is headed — and makes a convincing case that 20 years from now, not having one will look as strange as not having a retirement plan. Nate also covers the difference between participatory and voluntary plans, why participation rates in the 90–95% range are achievable, how on-demand concierge care eliminates the 2–6 week wait for a doctor, and how the plan his team runs covers the whole family — including a tick bite his wife resolved over the phone in 30 minutes. Key topics covered: Why wellness sits on top of — not inside — your major medical plan Mental health as the foundation of a productive workforce GLP-1 weight management programs at 80–90% below market price How FICA tax savings fund wellness with no new cost to employer or employee The difference between participatory and voluntary wellness plans Why experience ratings drive premium increases — and how to lower them On-demand concierge care vs. standard telehealth How to review and right-size a plan as your company grows What participation rate tells you about whether a plan actually works Connect with Nate Hallums: Website: solutionhealth.info LinkedIn: linkedin.com/in/nate-hallums Booking: lunacal.ai/natehallums Browse all episodes: tinyurl.com/y8tctv4v — PARTNERS ON THIS EPISODE — Profit10™ — Take the free Profit Snapshot and find out what's really holding your business back. Ten questions. No cost. Real clarity. Gentry Learning — Fred Crouch's real estate education platform. Courses, listings, Investor Club, and a free newsletter. If property is part of your plan, start here. Canada Growth Network — Business connections plus a robust CRM tech stack for $47/month Canadian. Real tools. Real people. NEXT STEPS Email us: [email protected] Join Canada Growth Network: Robust CRM platform, $47 CAD/month, Community Browse all episodes Search K4B episodes by topic Register as a K4B guest Visit Knack 4 Business Disclaimer: Everything you heard today is for educational purposes only. It's not professional advice. Before you act on anything — talk to a certified expert in your area. Your accountant. Your lawyer. Someone who knows your situation.We share perspectives. You make the decisions.Want more? Head over to blog.knack4business.com — packed with practical episodes on AI, marketing, leadership, and growth. No fluff. Just the good stuff. Subscribe while you're there.Until next time; keep building. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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Nate Hallums breaks down why your health plan is costing more and delivering less — and what SMB owners can do about it right now.
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Healthcare Costs Skyrocketing | So What They're Not Telling You
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