Efforts to get the drug cheaply will give U.S. workers a reason to surge into Canada.

The technology, according to the firm, is designed to streamline research, meeting prep and client-ready proposals.

"Without a structured approach, internal teams are increasing their volume, but if every message carries a sense of urgency, employees begin to tune out rather than listen closer," said William F. Ziebell, global CEO of Gallagher's Benefits and HR Consulting Division.

If primary care drives referrals, specialty utilization, imaging, and admissions, why is it not positioned as the structural foundation of employer health care strategy?