Harvard Business Review

What Employers Can Do to Accelerate Health Care Reform

By Robert S. Mecklenburg

View Full Article (PDF)


"I have learned that direct engagement among stakeholders in an atmosphere of mutual support and accountability can be effective in improving health care delivery."

To move from a reactive posture to a proactive leadership position in driving health care reform, large employers have a lever at their fingertips that they have not often deployed in procuring health care: their purchasing power. Providers and health plans are service suppliers paid by employers. Employers can readily apply market forces and supply-chain tools to improve the performance of both.