About 10 years ago, Linebarger and his predecessor, Tim Solso, began talking about ways to reduce Cummins' health care costs without making the company a less attractive place to work.
"When I first got into this, health care costs were going up 12 percent a year," says Linebarger. "Tim felt that employees were part of our stakeholder group. We want them to have good pay and good benefits. Good benefits are part of that picture, particularly in the U.S., where there isn't universal health care."
If expenses continued increasing at that 12 percent annual growth rate, Linebarger says, "We would have been out of the health care business in the future. We want to reduce our increases to 5 percent a year."
After Solso, now lead independent board director at General Motors, retired in 2011, Linebarger carried on the benchmarking and research they had started together. He studied best practices at places such as the Cleveland Clinic and Mayo Clinic.
"We decided there were lots of opportunities for us if the medical system was run to serve our employees instead of set up to serve insurance companies and Medicare," says Linebarger.
It was when Shurney came into the picture that Linebarger decided to expand his vision to include the LiveWell Center.
Shurney, who had been medical director at Vanderbilt University in Nashville, introduced the lifestyle component to the clinic and helped design it.