Employer groups engage in selective contracting on that basis.
Further, studies indicate good quality does not necessarily cost more, it may well cost less. This goes with outcomes accountability and it can go with employers wanting assurances that its healthcare providers will partner with the company in its efforts to contain healthcare costs, such as having the insurance carrier and the hospital provider network assist in educating employees to become better consumers of healthcare services. This system will be willing to go at risk for care and to be held accountable for clinical outcomes . It will have its own utilization review and quality assurance mechanisms. It will have systems and structures for case and cost managers .