October 29, 2007
Making It Your Job to Stay Healthy
The economics of changing insurance rates based on demonstration of a healthy lifestyle are simply to understand. Still, do we really wish to make it the responsibility of employers to enforce those lifestyles?
[State Health Insurance Commissioner Christopher F.] Koller explained that HEALTHpact was created, at the direction of Governor Carcieri and the General Assembly, as an alternative to high-premium, high-deductible, reduced-coverage health insurance that small-business owners have shunned.It requires managers and workers to be more engaged in the process of buying health insurance.
To qualify for the least-costly policy under HEALTHpact, a worker must complete a “health risk assessment” that includes a pledge to lower body weight, stop smoking and participate in disease/case management. After that, there are regular assessments, and if the employee does not comply with the requirements, the deductible goes up significantly.
It seems far more rational, to me, to make health insurance an individual thing and then to offer discounts adjust premiums to those who live healthily. Lowering my blood pressure and cholesterol shouldn't be a concern of my employer, at least inasmuch as it doesn't affect my performance.