This episode walks through the Rosie Award winners and the case studies that make up the appendix of Relocalizing Health — the documented proof that the model described in this book is not theoretical.
Dave Chase walks through what the Rosie Awards actually represent: employers and public sector organizations evaluated on real Plan Grader scores and real reinvestment of savings through the Health Rosetta Dividend. The awards are not given for good intentions. They are given for results, for documented outcomes that show up in the numbers.
The episode covers the kinds of results that have earned organizations a place in the appendix and on the Rosie Award stage: school districts that saved millions and kept teachers in classrooms, municipalities that redirected healthcare savings into community infrastructure, employers that eliminated deductibles and copays while reducing total cost, and health systems that demonstrated what direct contracting with employers actually looks like in practice.
Dave is direct about why these stories matter: because the standard objection to everything in this book is that it sounds good in theory but would never work at scale or in a normal organization. The appendix is the answer to that objection. These are normal organizations. They are not wealthy. They are not in major metropolitan areas. Many of them are in the same kinds of communities that have been told this is too hard, too risky, or too far outside the status quo to be worth trying.
The book launches July 29 at RosettaFest in Nashville. Every attendee gets a copy.
Key Takeaways:
- The Rosie Awards evaluate real Plan Grader scores and real reinvestment of the Health Rosetta Dividend, not good intentions
- The appendix of Relocalizing Health is built from Rosie Award case studies, documented proof that the model works in normal organizations
- The organizations in the appendix are not wealthy, not in major metros, and not operating with special advantages. They are the answer to the objection that this would never work at scale.
- Results documented across Rosie Award winners include eliminating deductibles and copays, saving millions while keeping public sector budgets intact, and building direct contracting relationships with providers
- The people behind these results are at RosettaFest 2026 in Nashville, ready to share everything they built
Resources Mentioned:
- Relocalizing Health by Dave Chase: pre-order on Amazon now
- RosettaFest 2026: RosettaFest.org
- Health Rosetta Plan Grader: healthrosetta.org
- Rosie Award winners PDF: available at RosettaFest.org
Learn More:
RosettaFest 2026 - https://rosettafest.org/
Health Rosetta - http://healthrosetta.org/
Nautilus - https://www.nautilushealth.org/
Kynexions - https://kynexions.com/
Dave Chase - https://www.linkedin.com/in/chasedave/
Podcast Website - https://relocalizinghealth.com/