Harvard Business Review May 29, 2019
Robert S. Galvin

As the debate heats up again about whether government should take over the funding and management of health care it is worth trying to figure out the enduring enigma of why employers have been unable to manage health care costs. After all, one of the promises of having employers play such a prominent role in the sector is that they should bring their management and innovation expertise to the issue. Yet a multitude of prior efforts by employers to manage costs, eliminate waste, and improve quality have failed.

Why? From my experience managing costs for GE under Jack Welch and currently doing the same for Steve Schwarzman and Blackstone’s portfolio of companies, I think the missing ingredient is CEO leadership....

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