The appendix of Relocalizing Health is built from documented Rosie Award case studies. These are not aspirational examples. They are real organizations with real results.

The standard objection to everything in Relocalizing Health is some version of this: it sounds compelling, but it would never work in a normal organization, at normal scale, without special advantages.

The appendix of the book is the answer to that objection.

The Rosie Awards, presented by Health Rosetta, evaluate employers and public sector organizations on two things: their Plan Grader score, which measures the fiduciary quality of their health plan design, and their reinvestment of the Health Rosetta Dividend, which is the real savings generated when a plan is built right. The awards are not given for good intentions. They are given for documented outcomes.

The organizations that make up the appendix of Relocalizing Health are not Fortune 500 companies. They are not operating in major metropolitan areas with access to special resources. 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 try.

School districts that saved millions and kept teachers in their classrooms. Municipalities that redirected healthcare savings into community infrastructure. Employers who eliminated deductibles and copays for their members while reducing total cost of care. Health systems that demonstrated what direct contracting with employers actually looks like in practice.

These are the proof points. And the people who built them are at RosettaFest 2026 in Nashville, July 29 to 31, in the Employer Track and across the conference, ready to share exactly what they did and how anyone can replicate it.

The book launches July 29. Every attendee gets a copy. The appendix is the part worth turning to first.

Pre-order Relocalizing Health by Dave Chase on Amazon now.

Get your ticket at RosettaFest.org.