Optimizing Markets

Effective markets require healthy competition and transparent information on cost and quality. Unfortunately, these conditions don’t exist in all health care markets. Entrenched interests feed off market failures and use their political muscle to keep the broken status quo in place.

As the leading voice of large national employer health care purchasers on public policy, PBGH has a track record of advocating for a market environment of healthy competition and successfully influencing both state and federal policy to enhance, among other priorities, value-based purchasing and the restriction of anti-competitive practices.

Policy Priorities

• Advance value-based purchasing
• Reduce drug cost
• End surprise billing
• Improve transparency of health care costs and quality
• Support functional markets
• Improve maternal health

Initiatives/Coalitions

Influencing Policy (Prog)

Health care’s unrelenting annual cost increases—up 4.6% in 2018 alone to $3.6 trillion, or $11,172 per person—have become untenable for purchasers and consumers alike, limiting employers’ ability to grow and compete globally and imposing an intolerable financial burden on patients.

Purchaser Value Network

The Purchaser Value Network accelerated the adoption of high-value health care delivery and payment models through policy advocacy, education and purchaser engagement.

Health Care Payment Learning & Action Network

This public-private partnership works to accelerate health care’s transition from a fee-for-service payment model to approaches that reward providers for quality care, improved health, and lower costs.

Optimizing Markets

Initiatives/Coalitions

Influencing Policy (Prog)

Purchaser Value Network

Health Care Payment Learning & Action Network

Antitrust Advocacy

Drug Pricing Policy

Surprise Medical Billing