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Previous Volume 355:195-202 July 13, 2006 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Employers and the health insurance companies who serve them are on the frontlines of the struggle with the problems of the costs and quality of health care in the United States. Although the system of employer-sponsored insurance is not well designed to deal with these problems,¹ it has nevertheless struggled gamely to do so. In part one of this two-part report, I reviewed the history of employer-sponsored insurance in the United States and the implications of relying on this institution to insure many Americans.¹ Here, I examine the approaches that employers and insurers are using to deal with problems of . . . [Full Text of this Article]

Employers' Health Care Costs

Shifting Costs to Employees

Improving the Performance of the Health Care System

Consumer-Directed Health Care

Paying for Performance

Disease Management

Incentives to Change Employees' Behavior

Other Programs to Reform the Health Care System

Implications of Reforms for Employer-Sponsored Insurance and the Health Care System

Source Information

From the Institute for Health Policy, Massachusetts General Hospital–Partners Health Care System, Boston.

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