Fierce Healthcare July 25, 2018
More than any other payer, self-insured employers will determine whether efforts to reduce national health spending work.
As the largest payer of health insurance in the U.S., self-insured employers have the power to drive—or stall—payment reform, according to a pair of health policy analysts.
Employer-sponsored health insurance pays for about a third of national health expenditures, and self-insured employers comprise the majority (60%) of that third. But few self-insured employers participate in alternative payment models (APMs), payment systems that reward the provision of cheaper, higher-quality services, and sometimes penalize waste and inefficiency.
“The business case for health plans to implement APMs is far from clear,” Robert E. Mechanic, a senior fellow at the Heller School of Social Policy and Management...
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