Health care purchasers have spent decades trying to negotiate harder, shop smarter, and introduce new point solutions and programs to curb rising costs. Yet healthcare spending continues to outpace inflation. At some point, it begs the question: What if the system is producing exactly the results it was designed to produce?

A growing number of emerging health plans believe that controlling costs requires redesigning the incentives and shaping the market, not simply negotiating better discounts. By rethinking provider payment, network design, care delivery, and the use of data, these organizations are challenging assumptions that have defined commercial health insurance for decades.  These ideas aren’t necessarily new, but emerging health plans are free from the structural constraints that constrain traditional incumbents.

Join Catalyst for Payment Reform to hear how these models differ from traditional health plans and what they may mean for employers seeking a better path forward. CPR’s upcoming webinar will feature presentations from innovative carriers who offer alternatives to national incumbents. The webinar will cover the following topics:

What’s Really Driving Rising Healthcare Costs: Usual Suspects and New Extractive Actors

• Understand how provider consolidation and post-pandemic utilization trends are exacerbated by the rise of AI-revenue optimization tools and downstream effects of the No Surprises Act.

Why are Emerging Health Plans Positioned to do What Traditional Plans Often Can’t?

• Explore how alternative health plans are putting well-established ideas like alternative payment models, high-performance networks, strategic navigation, and thoughtful benefit design into practice, while traditional carriers often face structural barriers to change.

What are the Risks of the Status Quo?

• With no relief on the horizon for accelerating healthcare cost inflation, purchasers are in dire need of solutions.  But not every cost-containment strategy delivers on its promise.  Learn how some common mitigation approaches, like ICHRA plans, higher cost-sharing and reference-based pricing can backfire and place members at risk.