Description: When compared to 10 developed countries, the US ranks last in overall health care performance, highlighted by per capita spending that is 50% greater than the next country and last place rankings in efficiency, equity, and healthy lives. Escalating costs and decreasing affordability continue to pose the primary challenge in U.S. healthcare as cost pressures are increasing for all who pay for healthcare: health plans, governments, employers, and consumers. From 2010 to 2015, the average health plan medical loss ratio increased from 86% to 90% and average employee contributions to premiums increased by 24%. This session will investigate how health plans could bend the cost curve by focusing on solutions such as medical/Rx cost reduction opportunity assessments, VBC maximization, PBM relationship maximization, care model redesign, provider/health plan collaboration, and next generation product design.