Future Financial Incentive Structure for Health Insurance Companies and Employers

In this insightful session, we’ll examine how the financial incentives shaping U.S. healthcare are evolving—particularly for commercial health insurance companies and employers, who together cover over 60% of Americans. Attendees will gain a clear understanding of how today’s payor incentives are structured, and where they’re heading in the face of rising costs, regulatory shifts, and market innovation. We’ll explore the intricate dynamics among Medicare Advantage plans, Pharmacy Benefit Managers (PBMs), and hospital contracting—and how these levers are used by insurance companies to influence care delivery and reimbursement strategies. The session also investigates how employers, as key stakeholders in health benefits, are responding to these strategies and what new directions they may pursue to contain costs while improving outcomes. Whether you’re a healthcare executive, policymaker, provider, or innovator, this session will equip you with the foundational knowledge to navigate and respond to the next wave of payor-driven transformation in healthcare.