The vast majority of employers not only are sailing in uncharted waters for insurance coverage but are doing so blindfolded.

Nearly 90 percent of companies that offer health insurance don't use or are not familiar with objective plan-quality information sources, according to a new survey funded by the Robert Wood Johnson Foundation. Only 7 percent use this information in their decision-making.

"Over the last decade, we have taken giant steps forward in our ability to measure and report on health care quality," the foundation's Anne Weiss said. "This poll highlights the fact that there is still a lot of work to be done to educate employers on how to get the most bang for their buck."

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