How 5 employers took on healthcare costs from 1997 to today

Companies like Walmart, Intel and Boeing are creating or have launched value-based programs that aim to lower healthcare costs through direct-to-provider agreements, according to the Harvard Business Review.

Here is a short timeline of some value-based purchasing agreements employers and healthcare providers struck since 1997*:

1997: Rochester, Minn.-based Mayo Clinic signs an exclusive provider contract with Walmart for organ transplants.

2010: Cleveland Clinic launches a program with hardware store Lowe's to provide some full-time employees and their families more coverage for cardiac procedures.

2010: Lowe's begins working with third-party administrator Health Design Plus to develop a Centers of Excellence heart surgery program.

2013: Walmart debuts its Centers of Excellence cardiac and spine surgery programs across five hospitals and health systems.

2013: Albuquerque, N.M.-based Presbyterian Healthcare Services and Intel roll out a risk-sharing arrangement and value-based payment model. The program, Connected Care, offers bonus payments if quality and financial targets are reached.

2014: Walmart unveils its Centers of Excellence programs for hip and knee replacements.

2015: Boeing launches a direct employer-purchasing program that benefits more than 15,000 employees. The arrangement offers employees access to narrow-network services, low or no copays, same-day appointments and expanded telemedicine tools across several U.S. cities.

2015: Walmart rolls out its Centers of Excellence program for cancer evaluations.

2016: Walmart launches its Centers of Excellence bariatric surgery program.

2018: Dallas-based Baylor Scott & White Health's ACO unveils a program with the Dallas Area Rapid Transit to improve preventive care, measurable outcomes and population health management.

*Harvard Business Review notes the timeline is incomplete

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