Can Sam’s Club Lead Health Care Reform?

Partnering with U.S. Preventive Medicine, Sam’s Club just started offering The Prevention Plan, a $99 program that allows individuals and business owners to maintain a healthy lifestyle. Is this the future of health care?

The Prevention Plan


Forget about the supposed job-killing health care
legislation. According to U.S. Preventive Medicine (USPM) and discount retailer Sam’s Club,
there’s a way for individuals and small business owners to take matters in
their own hands while they shop. And it’s based in Benjamin Franklin’s 300-year-old adage: “An ounce of prevention is worth a pound of cure.”

Sam’s Club is selling those doses as part of its $99 Prevention Plan.



The problem, U.S. Preventive

chairman and CEO Christopher Fey tells Fast Company, is that while it’s always been widely acknowledged that
prevention works, approaches to wellness have been as varied as the companies
and individuals who promote them.

“Someone needed to create a ubiquitous, standardized platform,” Fey says, “Prevention
is a board-certified discipline and we put it into a branded product.” Alternately
referring to the Prevention Plan as the BluRay or Microsoft Outlook of
preventative care, Fey explains it’s an accessible online system that’s easy
for individuals to use and stick with, no matter how they’re wired.

For the cost of membership ($40 to $100 per year) and a $99
one-time fee for the plan, Sam’s Club’s customers can purchase a package that allows
them to take a health assessment exam online and do an at-home blood test. Then
they’ll get a personalized program, using data and procedures certified by the
American Medical Association, that targets their individual health risks. Personal
health coaching and a variety of tools and challenges to provide the guidance
and motivation to manage and even mitigate those risks are all included in the


Sam’s Club spokeswoman Christi Gallagher tells Fast Company, “We wanted to offer our customers a way to lead healthier lives,” and
ostensibly take control of their health care while shopping for three-month
supplies of toilet and printer paper. This is especially important for small
business owners who may not have access to affordable insurance plans for their
employees. And Gallagher says Sam’s Club has many small business owners who
shop for both corporate and personal needs in the same trip.

Fey says the ongoing support is a critical component of the
success of the program. People might know they need to lose weight or stop
smoking, but the Prevention Plan offers a way to keep nudging them towards
those goals. “You see a doctor once a year. We are there for the other 364
days,” he asserts.

He’s got the numbers to back it up. Even though Sam’s Club is
the first retailer to partner with USPM, the Prevention Plan was introduced two
years ago. Fey says distribution channels include insurance brokers and larger
businesses, but one of its biggest user groups is the state of Nevada which
offers the plan to all its employees.


A study led by Ronald Loeppke, M.D., M.P.H., showed significant
reductions in ten of the health risks measured. The most noticeable changes
included a nearly 43% reduction in the proportion of employees with
high-risk blood pressure, a 31% decrease among those with high-risk
fasting blood sugar, and nearly 25% of those at high-risk for stress. Additionally, Fey cites economic studies that prove a $2.70 return on every dollar spent on preventative care.

Results like that, says Fey, helped Sam’s Club execs buy
into offering the program after more than a year of deliberation. “They did an elaborate
review of what was available in the marketplace. And they consistently said, ‘We
want to help our members improve their quality of life.'” Early response has been enthusiastic according to Gallagher who declined to
discuss actual numbers.

So while the health care debate rages in Washington, Sam’s
Club is taking a preventative measure of its own–against the competition.
Though no other retail outlet is offering the Prevention Plan, drugstore chains
such as CVS and Walgreen’s are taking a bite out of the primary care market.
Each drugstore chain launched its own in-store mini-clinics staffed with nurse
practitioners over the past two years. As  the law and its future iterations transform
healthcare, it’s clear we’re going to need as many affordable primary care
providers as we can find.


And that’s why Fey believes the Prevention Plan will
transform the economy, too. He’s argued on the Hill that the healthcare
legislation isn’t going to cut jobs. In fact, with USPM’s goal is “to make the
world a healthier place,” it will create them. The company’s already expanded
into the U.K. and has plans to roll out to Australia this year as well. China
will follow as will translations of the Prevention Plan into Spanish and
Mandarin. USPM will add 100 jobs this year, he observes.

“We may not be able to put all 308 million people in
America on the plan, but by teaming up with Sam’s Club and other big
organizations, we can certainly get the message in front of every person,” Fey says.

you feel better already?




About the author

Lydia Dishman is a staff editor for Fast Company's Work Life section. She has written for CBS Moneywatch, Fortune, The Guardian, Popular Science, and the New York Times, among others.


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