AJMC December 12, 2025
Justin Leitzen, MHA

Employers struggle to define value from health care spending amid complexity and misaligned incentives. Achieving measurable outcomes requires transparency, incentive realignment, and gradual, employee-centered change.

The Elusive Value Proposition in Health Care for Employers

Employers continue to invest significant resources in health benefits, yet the return on that investment is often difficult to define. Unlike other areas of business where value is measured in clear outcomes, health care spending is marked by complexity, limited transparency, and incentives that do not always align with employer goals. The central challenge is ensuring that every dollar contributes to healthier employees, greater productivity, and sustainable costs. For all organizations, whether self-insured or fully insured, this requires shifting from a traditional purchasing role to actively...

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