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How the Most Innovative Employers Are Embracing Disruption | Lee Lewis

Large employers aren’t the only ones who can do direct contracting. In this episode of Margin of Care, Lee Lewis of the Health Transformation Alliance breaks down the ways small and mid-sized employers can be more nimble and drive better health outcomes for their covered lives, all the while managing costs. New approaches aren’t out of reach.

Key Takeaways:

  • Employers flattening trend focus on tiering, steering, and behavior change—not just plan design.

  • Direct contracts aren’t just for jumbo employers—smaller companies can lead locally.

  • Five focus areas (ortho, maternity, cardio-metabolic, cancer, mental health) = 50% of spend.

  • Disruption doesn’t mean friction—it means rejecting broken incentives and reshaping value.

  • High-performing doctors put patients above profit—and smart plans guide people to them.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

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