Free Wellness from your Insurance Carrier
Posted on November 24th, 2010 in Brokers, Employee Benefits, Employee Relations, Insurance Carrier, Wellness Programs
In the past few years, many health insurance carriers have begun offering wellness tools to their customers – often at no additional cost. It has a lot of appeal to overworked HR managers who often have little training or experience with wellness. Here’s why it’s appealing:
- It’s “free” (I would bet the farm the costs are baked in somewhere)
- It looks sexy
- It’s integrated with the health plan
- It’s reportedly “turnkey”
In reality, expecting these free wellness tools to get results is like dropping your child off at the school library (complete with computers, phones, books, etc) each fall and expecting an honor student when you pick them up the next year. Much of the information and supplies are there, but there is no curriculum, no motivation, no regular accountability, celebration, no social support, etc. Students need teachers. Athletes need coaches. I don’t recall John Wooden winning 10 championships over the phone.
Then why do they offer it? I recently read a great blog entitled, “Ten Reasons Why Fully Insured Commercial Health Insurers Don’t Offer Worksite Wellness Programs For Their Customers”. I probably would have called it, “Why Wellness from Most Insurers Is Only Window Dressing”. As health insurance carriers consider how to grow their profits, there are quite a few factors that impact profits ahead of wellness. In a webinar where Andrew Sykes, a well-known actuary, spoke about the carriers’ motivation for wellness, he assured the audience that carriers were truly serious about wellness. They want sexy wellness tools to attract and retain their clients who are interested in wellness. However, they really don’t care if the tools get results. After all, what’s their motivation for reducing claims? When claims go up, their revenues and profits go up proportionately. Their motivation for doing wellness is more likely customer loyalty – like frequent flyer programs.
Where does wellness stack up on the priority list as carriers try to boost profits? Number FIVE.
1. More accurate underwriting
2. Better provider network with deeper discounts
3. Favorable plan designs that shift cost to employees
4. Efficient claims management
5. Wellness tools or budget
Unfortunately, many employers take the easy bait, and they loose several years of progress before they learn that wellness from carriers is only one-size-fits-all tools. It doesn’t do much to gain the trust of employees either, who are wary of carriers gaining more information about them. Once again, there are no free lunches…
Discussion
[...] Fully insured employers (and their brokers) are often reluctant to implement wellness because their health insurance premiums are determined more or less by the claims of all the employers in the carrier’s risk pool. That’s usually condensed into the sentence, “I’ll never see an ROI”. Conventional wisdom is that any savings from a healthier workforce fall to the insurer’s bottom line, not the employer’s. Therefore, it might be logical to think that it should not be employers, but insurers, that should invest in wellness to improve their profits. However, most carriers use wellness only as a loyalty program – not for reducing healthcare costs, as covered in a recent blog post. [...]
Thanks for some quality points there. I am kind of new to online , so I printed this off to put in my file, any better way to go about keeping track of it then printing?