Employers are having more and more accountability placed on them as purchasers, with less and less responsiveness from the industry. So they will be changing how they think about healthcare procurement. Transparency is table stakes. It is an expectation.
In the Kraft Heinz/Aetna case, Kraft Heinz sued Aetna for cherry-picking data. Similarly, Johnson & Johnson faced lawsuits from employees alleging overpayments for prescription drugs, highlighting fiduciary responsibility failures.
We work closely with our employer members on how to be an effective fiduciary. One initiative involves using the newly available data from the Consolidated Appropriations Act to identify high-value providers.
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