As the largest purchaser of health care in America, employers are paying a high price for poor-quality care. About 55 percent of Americans get health insurance through employers, and employers pay for nearly three-quarters of premiums. At the same time, poor-quality care, such as care that is excessive, ineffective, or harmful, costs a typical employer between $1,900 and $2,250 per employee every year. Improving the quality of health care could improve health while saving money.