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.

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