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What is the responsibility of my company vs. the responsibility of the health insurance plans and providers?

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What is the responsibility of my company vs. the responsibility of the health insurance plans and providers?

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Most employers rely on health insurance plans to implement key healthcare benefit strategies and programs; in turn, health insurance plans rely on providers to implement specific initiatives to improve quality and lower costs. Employers are encouraged to define a strategy that meets their business needs while promoting consistent health IT, quality and cost or price transparency, pay-for-performance and other incentives for employees and providers. They are also encouraged to negotiate contract terms with health insurance plans to implement those strategies and support the contracted plans’ implementation of these goals. In some cases, employers may directly implement programs and work with healthcare providers to advance these goals.

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Most employers rely on health insurance plans to implement key health care benefit strategies and programs; in turn, health insurance plans rely on providers to implement specific initiatives to improve quality and lower costs. Employers are encouraged to define a strategy that meets their business needs while promoting consistent health information technology, quality and cost or price transparency, pay-for-performance and other incentives for employees and providers. They are also encouraged to negotiate contract terms with health insurance plans to implement those strategies and support the contracted plans’ implementation of these goals. In some cases, employers may directly implement programs and work with health care providers to advance these goals. Learn More: http://www.hhs.

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