I like to fancy myself an HR professional who is a fitness aficionado. I have a real passion for how employers use
wellness programs to contain costs on benefits.
There was an interesting article last month in The Atlantic by Celine
Gounder, The Future of Getting Paid to be Healthy.
She examines how a few employers are using wellness programs
to drive how much the employee pays for medical benefits. She writes the following:
King County, Washington, was one of the first local governments to use rewards and penalties to encourage healthier behaviors. A decade ago, the county panicked as health care costs were growing at a pace of 15 percent every year. Then-executive Ron Sims convened a task force that included physicians, health care policy and legal experts, economists and labor and business leaders to develop a strategy to address health care costs from the perspective of both patients and the employers paying for their coverage.
Sims told the Seattle Times at the time, "I refuse to sit
back and allow the county and its employees to be victims of these seemingly
uncontrollable cost increases. Further, I refuse to accept there are only two
choices: reducing benefits to our employees and their families, or paying crippling
annual increases. Tweaking the edges of the problem will no longer
work."
Out of the task force's recommendations was
borne Healthy
Incentives -- a voluntary wellness program for its
employees and their families. While everyone receives the same medical benefits
coverage, their out-of-pocket costs (deductibles and co-pays) vary according to
their level of participation in the Healthy Incentives program. Those who
choose not to participate receive a Bronze status, with the highest
out-of-pocket costs. To attain a Gold status, with the lowest out-of-pocket
costs, you need to complete a health risk assessment and complete a personal
wellness plan. The individual action plans might include texting in a log of
healthy activities, joining Weight Watchers at Work, attending YMCA classes to
learn how to prevent diabetes through nutrition and exercise, or working with a
Quit for Life coach on the phone to quit smoking. The difference between the
Bronze and Gold tiers can make a difference of as much as $2,400 per year for a
family of four.
When she started working for King County three
years ago, Lynn Argento was automatically enrolled in the Gold tier after
completing her health risk assessment. Failing to complete her personal
wellness plan, Argento got bumped down to the Silver level the following year.
"It was an eye opener in terms of the differences that I was paying for my
deductible and co-pays," she said. "It was a big reminder that my wellness
activities had a significant financial connection to what I was paying
out-of-pocket." But Argento wasn't upset with King County. She was
disappointed in herself. "It was pretty clearly laid out to me. I knew
what I needed to do, and I didn't follow through on it," she said.
Argento resolved to earn back her status. She
runs on a treadmill during her lunch breaks at a worksite activity
center, where employees can also attend yoga, tai chi, Zumba and kickboxing
classes. Argento's husband is now also on her plan, which means that he too has
to participate in wellness activities to earn Gold status. Argento has noticed
not only the financial but also health benefits of her wellness activities.
"I have a lot more stamina," she said. "I often have to sprint
for a bus because I'm running late, and now I can do that without wanting to
pass out when I get to the bus."
I think this is a positive idea. You reward folks who choose to participate in
preventive medicine. As stated by one of
the participants this had an effect on her total well-being not just at
work. Does your employer have this type
of incentive? If so do you
participant? Would you participate if
your employer offered this type of program?
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