Doctor's Office Pay for performance is not so common in health care, but payers are pushing the concept in the quest to align quality and costs. (Photo: Shutterstock)

The more things change, the more they stay the same. And so it goes with our health-care environment, where rising costs have become the norm.

It’s a concern among employees, 90 percent of whom consider their health benefits as important as their salaries, according to the Kaiser Family Foundation. They feel the pain of average family premiums that have climbed 20 percent since 2011 to $18,142.

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