Michael McBrayer of St. Paul, Minn., needs to pay a lot attention to his health.
"I give myself shots multiple times a day, as well as controlling my diet and exercise," he said.
Ten years ago, McBrayer learned he has Type 1 diabetes. Now he knows he faces dire consequences if he fails to control his blood sugar.
"Kidney failure, blindness, heart disease -- all those things are looming out there," he said.
McBrayer has health insurance through his wife's employer, the state of Minnesota. It's a HealthPartners plan that charges extra to employers -- in this case, the state -- to cover diabetes care. So for the past several years, McBrayer's plan has paid for everything he needs to keep his diabetes in check. He doesn't spend a dime on supplies.
Diabetes, high blood pressure and other chronic conditions account for the vast majority of health spending in the U.S., according to the Centers for Disease Control and Prevention. Almost half of American adults have at least one chronic physical or mental health condition, and spending on those adds up to some $2.3 trillion a year.
Some health plans are beginning to offer free maintenance care for people with chronic health problems, hoping that spending a little more early on will save a lot of money in the long run.
"We've been trying to change the health care conversation in the United States from how much we spend to how well we spend," said Dr. Mark Fendrick, head of the University of Michigan's Center for Value-Based Insurance Design.
He said it makes both medical and economic sense to make properly managing chronic conditions affordable.
"I want the health insurance plan my patients have to charge my patients the least for the services that are going to make them healthier," he said. "Let's allow those to be covered on a pre-deductible basis; you're not leaving the patients paying 100 percent of the cost."
That may seem like common sense, but health plans have been running hard in the opposite direction. Consumers are on the hook for a rapidly increasing amount of their health costs -- in large part to try to curb health costs.
But corporate buyers of health insurance are starting to realize that people may be putting off necessary care, says Mike Thompson, who runs the National Alliance of Healthcare Purchaser Coalitions. The organization advises around 12,000 organizations that buy health plans for tens of millions of Americans. He said those who provide insurance need to take a thoughtful look at what they pay for and what consumers should pay for.
"So that people are more prudent on discretionary care but are more compliant with the care they need and certainly the care they need to stay healthy," Thompson said.
If people have to pay out-of-pocket for care they might not need, they might think twice, but their day-to-day health needs are taken care of.
One major obstacle to this approach, known as "value-based health insurance," is an IRS rule that does not allow free maintenance care for chronic conditions for the 20 million Americans with health savings account-qualified, high-deductible insurance.
The enhanced insurance benefit that pays for all McBrayer's Type 1 diabetes maintenance is paying off for state taxpayers, according to HealthPartners, his provider.
That program has helped quadruple the number of diabetes patients with optimal care, saving the state about $1 million on medical services since its inception almost 10 years ago, said Dan Rehrauer, a program manager at HealthPartners.
"We've shown that we've reduced hospitalization and emergency department utilization, which is exactly what we want to see," Rehrauer said. "You've got a healthy employee and that results in not ending up in the hospital [which saves] money."