When you make the move to aself-insured model, health care starts to feel a lot more likeother parts of your business. (Photo: Shutterstock)

Benefits are typically the largest expense item in a company's budget nextto payroll. Traditionally, managing the benefitsbudget hasn't been like managing other business expenses, asemployers have had little to no transparency into these costs.While most employers would be averse to accepting annual increases of 10 or 15 percent on otherbusiness expenses, they have never been able to apply the samelevel of scrutiny to their health care spend.

But things are changing. As health care spending continues torise, maintaining the status quo is simply no longer an option.Fortunately, action steps similar to those you'd take in otherparts of your organization are available for your health plan.

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