Our fragmented health care system has seen unchecked cost increases for decades with only modest improvement in quality of care. While health care utilization has remained flat over the last few years, total health care costs have risen substantially. This increase in spending is not a byproduct of health care consumption, but rather the result of an increase in prices and a failure to routinely adhere to evidence-based diagnostic/therapeutic options. For years health care industry experts—and recently even top non-industry executives—have been seeking solutions to our broken health care system. But no solution, as well funded as it may be, will be sustainable until the country rethinks the traditional health care delivery model. Most other industries operate in more of a free-market environment and are better at continually improving the number and quality of options and lowering prices by introducing efficiencies. Speakers in this session will discuss how enhancing competition by giving more employees and their families the power to choose among innovative integrated health delivery system networks or the traditional open access network could lead to dramatic impacts on cost and quality outcomes in U.S. health care.