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Health Care Reform: Should We Copy the Car Insurance Model?

Stevan Burd, the CEO of Safeway Inc., has created an employee health insurance program that has cut health care costs for those enrolled, saved the company big dollars and has increased the health of employees.

The Safeway program, called ”Healthy Measures,” is modeled after the car insurance system. Just as the car insurance model provides incentives to those who don’t speed or crash their cars, the Healthy Measures program rewards employees for having healthier blood pressure and cholesterol levels, maintaining a healthy weight and for not using tobacco.  

Here’s what Burd writes in his article for the WSJ:

At Safeway we believe that well-designed health-care reform, utilizing market-based solutions, can ultimately reduce our nation’s health-care bill by 40%. The key to achieving these savings is health-care plans that reward healthy behavior. As a self-insured employer, Safeway designed just such a plan in 2005 and has made continuous improvements each year. The results have been remarkable. During this four-year period, we have kept our per capita health-care costs flat (that includes both the employee and the employer portion), while most American companies’ costs have increased 38% over the same four years.

 

Safeway’s plan capitalizes on two key insights gained in 2005. The first is that 70% of all health-care costs are the direct result of behavior. The second insight, which is well understood by the providers of health care, is that 74% of all costs are confined to four chronic conditions (cardiovascular disease, cancer, diabetes and obesity). Furthermore, 80% of cardiovascular disease and diabetes is preventable, 60% of cancers are preventable, and more than 90% of obesity is preventable.

Read the full WSJ article here. 

Burd discusses the Healthy Measure program:

 

My thoughts…

 

First off, the Safeway program sounds a lot more motivating than my current plan, which is so rudely named “Short-term Major Medical.” It’s not that I want a cutesy name for my health insurance, but based on the name of mine, I’ll likely only receive benefits should I die in some instantaneous and God-awful manner.
 
Since the hubs and I don’t receive insurance from any of our employers, this is the only plan that we can really afford. However, we did consider a plan called, “Three for Free.” Unfortunately, this plan charged four times the monthly rate of our current crappy plan. So, the “Three for Free” didn’t seem as attractive anymore. And, let’s be serious, even with those “three,” we’d still be underinsured (like the majority of Americans).

More importantly, the Healthy Measures plan focuses on positive reinforcements and person responsibility. This is a concept that is definitely missing in our current system and if used, could save billions. However, I don’t think this program is the end-all solution to our reform. Thankfully, humans are more complex than cars. So, a health insurance model would need to be a bit more complex than this…

What do you think? Is Burd onto something? Can we use the auto insurance model in our health insurance system?  
 

Burd is also the founder of the Coalition to Advance Healthcare Reform (CAHR). CAHR is led by business leaders and employers who are focused on reducing healthcare costs to protect American companies and workers.

 

1 comment to Health Care Reform: Should We Copy the Car Insurance Model?

  • It seems like a step in the right direction. Having lived in a country with “socialised” medicine, I can see the vast differences. I know that healthcare here costs many times more than identical care in other countries, even compared to when I’ve used private services. Big Pharma is big business around the world, but it has been perfected here. Anything which reduces cost without reducing the level of service is a step in the right direction, but single-payer is the way to go.

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