Employers are the second largest purchaser of health care services after the federal government and the second largest line item of their budget is their healthcare spend. Now more than ever, employers are taking the wheel to drive towards improved quality and value in healthcare. When employers collaborate in coalitions, they become a force to be reckoned with. Forward-thinking employers and coalitions have moved assertively to provide benefits and services that improve the health, well-being and productivity of their workers. Onsite and near-site health centers, patient safety and quality improvement efforts, pharmacy cost control measures, and patient and caregiver support programs are a few of the ways employers are extracting significant value from the health care system. Increase the level of understanding of the power and influence employers can have when working together in a market Obtain real-world examples of disruptive and innovative work being done by a public sector employer, a private sector employer and a multiple employer benefits association Identify opportunities for moving to value-based health care.