A health insurance plan is a legally binding contract
entered into by an insurance company and an individual
under which the insurance company agrees to meet
a specified range of medical expenses arising during
the period of the contract in exchange for the payment
of a premium. The contract is normally made for
a period of one year and may or may not be renewable.
In cases where the contract is renewable there is
no guarantee given or implied that the premium will
remain the same.
Why does health insurance cost so much? Year after
year, many of the articles that appear in print
detail the specific factors driving the cost of
healthcare.
These factors include: general inflation, advances
in drugs and other medical devices, rising hospital
and doctor expenses, government mandates, increased
consumer demand, litigation, fraud, and cost shifting.
The basic answer is that a magic bullet to solve
the cost of insurance does not exist because the
real difficulty is controlling the cost of healthcare.
A simple way to dramatically decrease the dollars
spent on healthcare is to reduce the demand for
healthcare.
I have seen estimates that up to 40% of all healthcare
related expenses result from preventable conditions.
These preventable conditions are caused by lifestyle
choices such as tobacco, obesity, stress, lack of
exercise and poor diet.
Most of us, make lifestyle choices
everyday that eventually increase our demand for
healthcare. We are never going to be able to totally
eliminate all lifestyle related healthcare costs.
However, improved lifestyle choices would cause
a dramatic reduction in demand. This would then
result in a similar reduction in the dollars spent
on healthcare.
Lower demand for healthcare would result in lower
health insurance costs, increased productivity,
and reduced absenteeism. If your organization has
not done so already, your organizational leaders
need to seriously consider the benefits of health
promotion and disease prevention programs. Your
return on investment will most likely be as high
as 2:1 in the first year.
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