In the latest issue of Purchasing High Performance, a former GE global health benefits manager questions whether most large employers will really drop traditional health plans and encourage their employees to buy coverage through the exchanges, as has been suggested by some. Also: a case study of Kraft's successful strategy to improve employee health and control medical costs; a look at what's next in ACA implementation; an update on payment reform initiatives; and more. The Purchasing High Performance newsletter is designed for employers and others interested in promoting value in health care and produced in partnership with the National Business Coalition on Health.