Yes, on an individual local coalition basis, if that is important to the group. There are very simple ways they can do that. They can also become involved in more long-term data collection systems. Employers are not as driven by price as a lot of people accuse them of being. What they've really committed to at the local coalition level is not investing a lot of time and effort in tracking cost but much more in tracking whether they are getting improved quality.
Companies know what they're paying.
What they don't always know is necessarily what they're getting for it. I don't think that we would continue to have the buy-in of so many employers at the local level if they didn't see the benefit and value of coalitions. There was pressure on coalitions over the last year or so when health premiums moderated and increases were pretty flat and yet very few employers dropped out of those coalitions. Our membership numbers have been constant, telling me that companies do see value in collective organization at the local level. Let's talk about changes in the market.