Value Innovations by Employers: Examples Beyond Cost Sharing

Policy Brief

Value Innovations by Employers: Examples Beyond Cost Sharing

Published date

August 31, 2019

Employer-sponsored health insurance plans face rising costs that impact firms’ bottom lines and employee wages. In response, many employers have adopted cost-sharing strategies, such as high deductible health plans, but there may be limits to how well these designs can contain costs and improve health outcomes. Many employers are seeking new ways to increase the value of care they purchase through their plans, such as by managing population health, implementing payment reforms, and helping patients navigate the health system to high-value providers. We examine innovative models of value-based insurance design that have been developed within the employer-sponsored market, consider how they may continue to spread and expand, and explore the implications for broader transformation of the health care system.

Duke-Margolis Affiliated Authors


Andrew Olson, MPP

Associate Director, Policy Strategy and Solutions for Health Data Science


Mark Japinga, MPAff

Research Associate

Robert Saunders

Robert Saunders, PhD

Senior Research Director, Health Care Transformation
Adjunct Associate Professor
Senior Team Member
Margolis Core Faculty

Donald Taylor

Donald H. Taylor, PhD, MPP

Professor in the Sanford School of Public Policy
Margolis Executive Core Faculty
Anti-Racism and Equity Committee Member