Issue 45

We’re excited to welcome Jon Levin to EFI as Vice President of Healthcare Economics and Policy Research.

Jon joins EFI from RAND, where his work focused on the drivers of healthcare spending, including hospital prices, prescription drug costs, and consolidation, as well as the role of payment and delivery system design in improving the value employers and patients receive.

He’ll be a great addition to the team as EFI continues to expand its research and policy work on healthcare affordability. 

All Stakeholder Meeting: May 20th, 11am – 1pm ET in Fort Wayne, Indiana

We are pleased to announce that Linda Brady, VBC Portfolio and Network Strategy Manager from Boeing, will be joining us on May 20th to share how Advanced Primary Care and informed referrals have led to cost savings, improved outcomes, and delighted employees.

Calendar invites have been sent to members. If you are an EFI member and do not have this on your calendar, please contact Sara Otte.

A wave of new Indiana laws, combined with recent federal legislation, gives plan sponsors explicit legal authority to access complete, unredacted claims data and to better oversee their plan expenses. TPAs and PBMs are required to provide access to payment data that employers have rarely had access to before Indiana’s groundbreaking laws.

EFI’s latest Law-to-Action guide covers what the new laws require of your vendors and four concrete steps to act on your rights now.

The National Alliance of Healthcare Purchaser Coalitions recently released a new report examining claims often used to justify rising hospital prices.

The report highlights how hospital consolidation, opaque pricing practices, and limited competition continue to drive healthcare costs higher for employers and workers. Employer-sponsored coverage now averages nearly $27,000 per year for family coverage, underscoring the financial pressure facing businesses and employees. 

The report also outlines steps employers and coalitions are taking to bring greater transparency and accountability to hospital pricing.

Enrollment is now open for RAND 6.0, the latest national study examining commercial hospital prices.

The RAND hospital price studies have been instrumental in documenting price variation across the country and informing transparency reforms. Benchmarking hospital prices against Medicare is a basic reference point for responsible plan oversight. Participating in RAND helps strengthen the data employers need to evaluate their contracts and supports the transparency behind Sage.

EFI encourages all employers to consider participating in this round of the study.

Enrollment remains open through November 2026.