Major Employer Coalition Types
| Coalition Type | Examples | Focus | Best For |
|---|---|---|---|
| National purchasing coalition | HTA, PBGH, Business Group on Health | National contracts, policy advocacy | Large employers (1,000+ employees) |
| Regional coalition | Midwest Business Group on Health, Northeast Business Group | Local market dynamics, regional provider contracts | Mid-size employers in concentrated markets |
| Industry coalition | Retail Industry Leaders Association, HR Policy Association | Industry-specific benchmarking and contracts | Employers in specific industries |
| Purchasing cooperative | Multiple employers sharing a TPA or PBM contract | Aggregated purchasing for specific services | Smaller employers seeking scale |
Health Transformation Alliance
The Health Transformation Alliance (HTA) is a coalition of large employers that collectively negotiates with carriers, PBMs, and other vendors. HTA members share claims data, benchmark performance, and negotiate collective contracts. HTA has negotiated significant savings on PBM contracts and specialty drug pricing for its members.
Coalition Value Proposition
IQ Insight
Coalition membership provides value beyond purchasing power: access to benchmarking data that individual employers cannot obtain alone, best practice sharing among peer employers, policy advocacy on healthcare reform issues, and collective intelligence about vendor performance. For mid-size employers who lack the scale to negotiate individually, coalition membership can provide access to large-employer terms.