i like these ideas:
4. Pay Employees for Healthy Habits
When Safeway CEO Steve Burd discovered that 70 percent of health care costs are linked to unhealthy habits, he created incentives that sent his employees scrambling for the produce aisle. "No one quarrels with the fact that if you have three speeding tickets a year, you're a higher risk and should pay more for auto insurance," says the 58-year-old fitness buff. "Our new plan encourages employees to live healthier, and if they don't, then they bear some of the costs." Perks include lower premiums for those who lose weight or quit smoking, free or cheap gym memberships, and a $1,000 health care reimbursement check to encourage cheaper choices like generics over name-brand drugs.
The payoff: The company's new plan has saved 13 percent so far, and employees who've signed up have saved 20 to 30 percent on their premiums. If other companies followed Safeway's lead, the country could save $600 billion to $800 billion.
....
9. Stop Unnecessary Treatments
We spend more than any other country on health care, but we're not healthier for it, partly because so much of the care delivered here is unnecessary, says Shannon Brownlee, author of Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer.
"The way to fight waste," she says, "is by reorganizing the way doctors and nurses and hospitals provide care. There are models out there of high-quality, low-cost care, and they include some of the most trusted names in medicine: the Mayo Clinic, Kaiser, and Intermountain Healthcare. These programs have a primary provider coordinate all the care. They understand that 21st-century medicine is a team sport. They also put a premium on analyzing the best available evidence and then ensuring that their doctors follow it."
The payoff: "Cutting out even half of the unnecessary health care in this country," Brownlee says, "would be enough to cover every citizen who is now uninsured."
http://www.rd.com/living-healthy/18-ideas-to-reform-health-care-now/article101364-1.html