Major employers are concerned with the state of their relationship with their health plans and don’t believe they have been well-served. That’s the message that David Lansky, president and CEO of Pacific Business Group on Health, a coalition of 50 large companies, brought to insurers at AHIP 2013 in Las Vegas.

He also had a stark warning: Only a quarter of his member employers expect to offer health benefits a decade from now if nothing changes. Lansky came with a wish list that employers, who increasingly will flex their purchasing power, want from their insurers. They want payers to aggressively drive out waste, support a durable reduction in costs, continue to offer benefits but with cost sharing and consumer incentives, improve outcomes by providing a competitive market that rewards outcomes, and work toward a health system that makes quality of care predictable and reliable.

More than ever before, employers will start using their purchasing power to influence provider and payer behavior and use their political clout to influence policymaking, Lansky said. Employers want to work with providers and payers on developing uniform metrics on quality and costs, price transparency, building all-payer databases, rewarding providers with value-based payments and driving down Medicare fee-for-service significantly by 2020, he added. “Employers will encourage employees to seek care from quality providers, and payers can tell us who they are.”

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