"The end game, or meta strategy, is to make a profit from Amazon’s employee benefits obligation — which Griswold said has proven to be a massive operational expense that’s a drain on the bottom line — by selling this solution to others in the free market."Bruce Shutan Employee Benefit Advisor Feb 1st 2019. 

It is predicted that Amazon will acquire a telemedicine company with which it will integrate the popular Alexa artificial intelligence product, negotiate contracts with doctors and leverage its enormous scale to slash the company’s fully-insured healthcare costs.

Amazon’s healthcare tab, which includes an estimated $675 million annual drug spend, also could explain why the company announced last June that it would acquire the online pharmacy Pill Pack for a reported less than $1 billion price tag.

Therein lies a lesson for forward-thinking benefit brokers and advisers according to Griswold, co-founder of the Ascend Summit and managing director of NextGen Benefits Mastermind. He said brokers "can out-maneuver Amazon to grow market share and their bottom line. The key is embracing a host of innovative self-insured solutions, transparency and accountability, as well as agreeing to performance-based fees that align with their employer clients’ cost-containment objectives.

“Everything they are doing you can do for your clients,They can’t move the needle fixing billing. They can move the needle with the strategies you have learned.”

” he added. “

Reminded me to look at the Altus Consulting's article "Amazon’s Insurance Opportunity - 10 areas Amazon can disrupt".