Purchaser Business Group on Health

Purchaser Business Group on Health

Represents employers to improve care costs

Overview

Purchaser Business Group on Health (PBGH) helps large employers and other health care purchasers improve the quality of care while keeping costs in check. It acts as a voice for its members, who collectively spend over $350 billion each year on health care and insure 21 million Americans and their dependents. PBGH coordinates programs, policies, and purchasing strategies that leverage the buying power of its members to drive better outcomes, safer care, and more affordable prices across the health system. Unlike single employers negotiating alone, PBGH provides scale and collective bargaining power, shared evidence-based initiatives, and guidance from a national network to align incentives and accelerate improvements in health care value. Its goal is to raise quality and lower the rate of cost increases by shaping health care delivery, coverage, and payment models for its member employers and, by extension, the broader market.

About Purchaser Business Group on Health

Simplify's Rating
Why Purchaser Business Group on Health is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Consulting

Healthcare

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

San Francisco, California

Founded

N/A

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Simplify's Take

What believers are saying

  • April 2026 survey showed 37% members running medical RFPs and 23% pharmacy RFPs.
  • February 2026 CAA reforms strengthen PBM transparency, matching PBGH's core agenda.
  • California and Puget Sound primary-care networks expand PBGH's operational footprint.

What critics are saying

  • PBM transparency rules do not ban spread pricing in commercial plans until 2028.
  • Hospital and insurer consolidation keeps prices high despite PBGH's advocacy campaigns.
  • If members stop funding services, PBGH becomes a policy shop without leverage.

What makes Purchaser Business Group on Health unique

  • PBGH aggregates 40 purchasers spending $350 billion for 21 million covered lives.
  • Elizabeth Mitchell turns employer buying power into policy and procurement leverage.
  • Kent Bradley's July 2026 CIO role links advisory services, partnerships, and execution.

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Benefits

Remote Work Options

401(k) Retirement Plan

Performance Bonus

Company News

Associated Press
Jul 14th, 2026
Purchaser Business Group on Health appoints Kent Bradley as inaugural chief impact officer

The Purchaser Business Group on Health has appointed Kent Bradley, M.D., as its first chief impact officer. The nonprofit coalition of more than 40 public and private purchasers covering 21 million people created the role to connect its purchaser coalition, advisory services and strategic partnerships. Bradley will lead PBGH's member value strategy and oversee advisory services, helping employers navigate healthcare purchasing decisions. He brings decades of experience across healthcare delivery and employer purchasing. Bradley previously served as president of 10X Health System and senior vice president at Herbalife. Earlier, he was chief medical officer of Safeway, where he built a recognised employer-driven health initiative. He also served on boards including Dignity Health and CommonSpirit Health, and worked as a US Army Medical Corps officer.

GlobeNewswire
Mar 16th, 2026
Purchaser Business Group on Health's '2026 Health Policy Summit' convenes employer purchasers and policy leaders to advance affordability, transparency and accountability.

Purchaser Business Group on Health's '2026 Health Policy Summit' convenes employer purchasers and policy leaders to advance affordability, transparency and accountability. Congressional leaders, employers and patient safety advocates share solutions to address rising health care costs while improving access to high-quality care. WASHINGTON, D.C., March 16, 2026 (GLOBE NEWSWIRE) - The Purchaser Business Group on Health (PBGH), a non-profit coalition of leading, public and private purchasers dedicated to transforming the health care system, convened leaders representing America's largest employers, policymakers and health care stakeholders in Washington, D.C. last week to discuss policy and legislative solutions aimed at addressing the growing health care affordability crisis and expanding access to high-quality care for American workers and their families. The 2026 PBGH Health Policy Summit began with a keynote presentation from Senator Bill Cassidy, Chairman of the Senate Health, Education, Labor, and Pensions (HELP) Committee, on important advancements in health care affordability at the federal level. In his remarks, Senator Cassidy emphasized that more must be done to ensure that patients and payers know what they are paying for and redoubled his commitment to championing the cause for more price transparency. "Employer purchasers are on the front lines of the health care affordability crisis," said Elizabeth Mitchell, president and CEO of PBGH after the presentation. "Our members are committed to advancing innovative solutions that improve outcomes and value while working closely with policymakers to build a more transparent, competitive and accountable health care system." In her remarks, Caitlin Soto, Senior Policy Advisor for the U.S. Department of Labor, outlined the Employee Benefit Security Administration's vision for exposing inefficiencies, driving competition and lowering health care costs. This includes the DOL's proposed rule requiring PBMs and any other provider of pharmacy benefit services to disclose detailed information about their compensation. Congressional staff from the House Committee on Ways and Means, House Committee on Education and the Workforce, and the Senate Finance Committee shared additional perspectives on key policy developments affecting employer-sponsored health coverage, discussing current legislative priorities and opportunities for collaboration between policymakers and purchasers to address rising health care costs. The program also featured a fireside chat on key policy challenges and opportunities in the employer-sponsored health care market. The conversation included Leah Binder, President and CEO of The Leapfrog Group; James Gelfand, President and CEO of the ERISA Industry Committee; and Shawn Gremminger, President and CEO of the National Alliance of Healthcare Purchaser Coalitions. Speakers highlighted the critical role employers play in advancing reforms that improve health care affordability, patient safety and value. Discussions largely focused on policy priorities identified by employer purchasers, including addressing the underlying drivers of health care cost growth, strengthening price and quality transparency, and ensuring greater accountability across the health care supply chain. Purchasers also emphasized the importance of policies that support innovation in the employer-sponsored market, protect direct contracting initiatives and enable employers to access the data necessary to evaluate the cost and quality of care. Participants highlighted the urgent need to address market consolidation across hospitals, health systems and insurers that has contributed to escalating health care prices without improving access or quality. Employer purchasers stressed that stronger transparency requirements and enforcement of existing federal transparency rules are essential to restoring competition and enabling employers to make better purchasing decisions. Another central theme of the event was the importance of expanding access to high-quality care, particularly through investment in advanced primary care. Employer leaders noted that strengthening primary care and supporting innovative care delivery models are among the most effective strategies to improve outcomes while reducing total health care spending. PBGH members also underscored the need for more accountability among service providers, including pharmacy benefit managers and third-party administrators, while ensuring that employers have full access to their own claims data so they can better manage costs and improve care for their employees. The conversations reflected the shared goal of employer purchasers and policymakers to address the worsening affordability crisis in the U.S. health care system. Rising health care costs continue to place growing pressure on families, employers and the broader economy, making it increasingly difficult for businesses to provide high-quality coverage to their workforce. "We're not done yet," said Sara Richards, Director, Benefits, for Red Bull North America, Inc. in her closing remarks. "This isn't just about the current generation of workers. We are trying to address this so that employers can continue offering affordable, high-value benefits for their employees and family members. We're at a turning point, and I believe that in working together we can achieve a more fair and functional health care market." About Purchaser Business Group on Health Purchaser Business Group on Health (PBGH) is a, Oakland, Calif.-based nonprofit coalition representing nearly 40 private employers and public entities across the U.S. that collectively spend more than $350 billion annually purchasing health care services for more than 21 million Americans and their families. In partnership with its members, PBGH initiatives are designed to test innovative operational programs and scale successful approaches that lower health care costs and increase quality across the U.S.

California Health Care Foundation
Feb 25th, 2025
California Primary Care Initiatives

Purchaser Business Group on Health (PBGH) launched the Care Excellence Program in California in 2024 to connect employees and payers to top-performing primary and specialty care providers.

GlobeNewswire
Dec 10th, 2024
PBGH Launches its Advanced Primary Care-Driven Health Care Network in Puget Sound, Washington

PBGH launches its Advanced Primary care-driven health care network in Puget Sound, Washington.

Blue Shield of California
Apr 10th, 2024
Purchaser Business Group on Health Launches Program to Connect Employees to Top-Performing Primary and Specialty Care Providers

Purchaser Business Group on Health launches Program to connect employees to top-performing primary and specialty care providers.

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