Over the last three-plus decades, employers have grappled with dramatic double-digit increases in health care and workers’ compensation costs, according to the Centers for Medicare and Medicaid Services. At the same time, the lost time and productivity associated with injuries and illnesses adds to the urgency to find a new approach to managing these costs. In fact, rising health care costs are cited by the Federal government as the primary reason for the introduction of health care reform and the Affordable Care Act