The Employer-Led Health Care Revolution

by Patricia A. McDonald, Robert S. Mecklenburg, MD, and Lindsay A. Martin

IN THE YEARS LEADING up to 2009, Intel tried a number of popular approaches to tame its soaring health care costs. To encourage employees and their families to be more involved in the purchase of their care and aware of its actual cost, the company implemented “consumer-driven health care” offerings such as higher-deductible plans with lower premiums, tax-advantaged accounts, and tiered-provider options. To save employees time and improve access, it opened primary care clinics at Intel work sites in Oregon, New Mexico, and Arizona. It offered wellness and fitness incentives, including optional annual health checks that would reduce ...

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