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In his short time on the job, Azar has embraced many of Obama's objectives around lowering costs and improving quality, but with a Trumpian impatience to upend the established order.

Ongoing shifts have motivated many expert advisors, thought leaders, and health care entrepreneurs to seek better ways to deliver health care to employees, with the goal of reducing costs for the employer and the employee while improving care delivery and outcomes.

The largest private employer in the U.S., has been bypassing insurers and buying health care for its workers directly from providers in six different regions.

"This is no time to be timid," says Health and Human Services secretary Alex Azar.

As employers try to help employees understand the relationship between medical costs and health insurance premiums, one area that needs a little more explanation is, well, the explanation of benefits.

To help keep employee out-of-pocket spending low and reduce company health care expenditures, employers need to provide their people with the tools and resources needed to make informed decisions.

The business of health care is broken for consumers and taxpayers in America, and we can expect to see more mergers, acquisitions and even large alliances in the coming months and years.

As those who represent consumers, benefits professionals have a crucial role to play as we keep learning about more mergers, acquisitions and large alliances.