Procurement of goods and services is at the heart of good business practice. U.S. companies manage their supply chains with diligence to ensure suppliers meet their standards for quality and affordability, but the vast majority don’t behave in this fashion when purchasing health care services. It is a costly mistake. However, the experiences of a handful of large employers — including Intel, Boeing, and the State of Washington — that are using their purchasing clout to improve the quality and affordability of health care that their employees and dependents receive shows that there is a superior alternative.