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	Jon B. Christianson

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	Snapshots of Change in Fifteen Communities: Summer 1996 Health Affairs
	Health System Change in Twelve Communities September 1997 Compilation of 1996-97 Site Visits
	Health System Change in Boston, Massachusetts June 1997 Case Study
	Health System Change in Cleveland, Ohio May 1997 Case Study
	Health System Change in Greenville, South Carolina September 1997 Case Study
	Health System Change in Indianapolis, Indiana September 1997 Case Study
	Health System Change in Lansing, Michigan August 1997 Case Study
	Health System Change in Little Rock, Arkansas July 1997 Case Study
	Health System Change in Miami, Florida June 1997 Case Study
	Health System Change in Newark, New Jersey September 1997 Case Study
	Health System Change in Orange County, California September 1997 Case Study
	Rules of the Game: July/August 1998 Health Affairs
	Health System Change in Phoenix, Arizona September 1997 Case Study
	Health System Change in Seattle, Washington August 1997 Case Study
	Health System Change in Syracuse, New York July 1997 Case Study

The Role of Employers in Community Health Care Systems

July/August 1998
Health Affairs, vol.17, no.4 (July/August 1998): 158-164
Jon B. Christianson

mployers can play an important role in shaping community health care systems by efforts to institute system change, negotiations with health plans and decisions about the structure of health benefits for their employees. During the recent period of relative health premium stability, employers have responded to employees' concerns about managed care by: participating in coalitions with other employers to gain leverage with providers; becoming active in the health policy arena around specific issues; adopting less restrictive managed care options regarding choice of providers and access to specialists; monitoring the performance of health plans and providers; contracting directly to hold down costs; and tailoring a benefit package and provider network to meet specific needs.

Free access to this article is available at the Health Affairs Web site.

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