Prevention pays off: Better health, lower costs for families in Georgia

It’s a scenario far too familiar: a routine checkup gets postponed, a screening is delayed, or a symptom is ignored. Life is busy. Appointments take time to schedule, and for many, there’s a real concern about whether care will fit into this week’s budget.

In the moment, delaying care can feel like the practical choice. But postponing routine screenings or appointments often leads to the opposite result — higher costs, more complex treatment, and in some cases, worse long-term health outcomes.

This is why prevention matters.  It’s about our overall health and our financial well-being. 

 When delaying care becomes expensive care

Preventive care is designed to catch health issues early, when they are easier and less expensive to manage. National research from the Blue Cross and Blue Shield Association shows that complex health issues like cancer, if detected through preventative screenings, are far more likely to be found at the earliest, most treatable stage, significantly reducing the cost of care. 

This matters at a time when the rise in healthcare costs is already under strain nationwide. According to the Kaiser Family Foundation (KFF), the average annual premium for employer-sponsored family coverage now totals nearly $27,000 annually, underscoring how delayed care and rising treatment costs affect families, employers, and the healthcare system. 46% and 45% of adults in Georgia skipped recommended follow-up visits and delayed or avoided having procedures done, respectively, according to a 2023 Healthcare Value Hub survey.

 Why prevention lowers the cost of care

Lower healthcare costs don’t start in the emergency room or at the pharmacy counter; they begin much earlier. Access to preventive services, early intervention, and follow-up support can help manage health issues before small problems become costly crises.

Addressing mental and behavioral health needs before they escalate can also reduce emergency visits and in-patient hospital stays. Likewise, managing chronic conditions like diabetes or heart disease is a great example of how early prevention can avoid costly complications—particularly as the costs of diagnosed diabetes reached $413 billion in 2022 and are projected to reach $2 trillion for cardiovascular diseases by 2050.

 Making prevention easier, not harder

Health plans have a responsibility to remove barriers to preventive care by covering recommended screenings and wellness visits, and by helping people navigate where to go, what services they need, or how much care will cost. When people have clear guidance and support, they’re more likely to act rather than delay.

We support prevention by pairing coverage with practical tools and programs, including:

• Rewarding safer care: Through our Quality-In-Sights: Hospital Incentive Program, hospitals are encouraged to improve patient safety and reduce preventable complications.
• Simplifying access through technology: Our Concierge Care program and digital tools connect members to 24/7 nurse support and guidance, helping reduce avoidable hospital admissions and remissions.
• Turning data into action: Data insights help identify care gaps and guide members to the right care with tools like the Sydney Health app, making it easier to schedule preventative visits, understand benefits, and avoid unnecessary emergency visits and unexpected costs.

By encouraging earlier action, we’re improving both the experience and overall health outcomes. 

Investing in healthier communities

Prevention doesn’t stop at the doctor’s office—it extends into our communities through partnerships that help remove real-world barriers to care. That’s why we’re working with organizations like Sostento, an innovative partner focused on empowering frontline health workers to connect people to the care they need. By addressing challenges such as transportation, complex referral systems, and access to behavioral health services, Sostento helps ensure that more individuals—especially those in underserved communities—can access timely, quality care.

Through our collaboration with Sostento and local clinic partners, we are expanding access to behavioral healthcare by reducing transportation barriers, increasing screenings, and strengthening connections to follow-up care. These efforts are already making a meaningful difference—705 individuals have been connected to behavioral health or substance use care through this initiative.

By investing in solutions that meet people where they are, we’re making it easier to access care earlier—supporting healthier outcomes today and building stronger, more resilient communities for the future.

A smarter path forward

Health insurance isn’t just for emergencies. It’s meant to support individuals and their families so that emergencies never occur. 

With healthcare costs top of mind for families and businesses, prevention offers a clear path forward. It leads to better health outcomes, lowers costs, and helps ensure that people get the care they need when they need it most.

Learn more at anthem.com/affordabilityingeorgia.  

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