I probably ought to give my articles more straightforward titles, but I like playing with writing a bit. Anyway, this entry is based on an article I just read, “Coming Soon to a Workplace Near You, “Wellness or Else””. It was very interesting, as it plays into some of my favorite thought patterns.
First, I love listening to and economist’s take on things. I read “Freakonomics”, and I listen to the “Planet Money” podcast. This article focuses on the economics of workplace wellness, and do the perceived savings really add up, or are the savings coming from other sources? The article states that much of the savings come from throwing more of the health care costs back on employees in the form of penalties or denial of coverage if they don’t participate in wellness programs. It states the actual cost benefit is programs costing 100$-300$ per person, with only a 25-40$ drop in medical costs per year. If direct health savings were the only incentive for companies, obviously they don’t have a lot of reason to institute these programs.
Second, I’m fascinated by incentives and whether they work, or, as my title implies, create unintended consequences. Are health incentives helping motivate us to get healthier, or are they coercive and unfairly punishing people? For example. Let’s say I offer to pay any employee to quit smoking. How do I prove it? Do I demand blood tests? If I’m a non smoker, it hardly seems fair. If I restart, can I get the quitting bonus again? Incentives seem like a great thing, till you see how they play out.
I want everyone to do everything in their power to get healthier. We know that people will engage in unhealthy behavior, in spite of repeated negative consequences. It is hard to know what will motivate people to change. It seems like this is a positive tool, but maybe not. What do you think? Do you have any personal experience?