4 lessons from 20 years of health care consumerism
CDHPs control health care inflation with no deleterious effects on members health or financial position, maintains contributing editor Andrew Sykes.
CDHPs control health care inflation with no deleterious effects on members health or financial position, maintains contributing editor Andrew Sykes.
Contributing Editor Andrew Sykes outlines how office space is shrinking and what can be done to encourage healthier work spaces.
Think about the simple act of driving to work in the morning. It involves perhaps 500 separate decisions, yet when we arrive we are hardly aware that we made a single one.
Almost all efforts to drive participation in wellness programs focus on motivation. Initiatives like inspiring messages, rewards and incentives, attempts to "make it fun," readiness-to-change surveys and activity tracking often try to address what common sense tells us is missing: People simply lack the motivation to change.
We all say we want to live a healthy life. So why is it so hard to do what we say? It's the central question that every wellness program tries to address.
Most wellness programs assume that the first step to changing habits is education. Whether in the form of a wellness website, nurse line, wellness fair, lunch and learn, newsletter or paycheck stuffer, the assumption is always the same: If people only knew what good health habits were and why they should practice them, they would surely make the right choices. If you, too, think that education is an effective behavior change tool, think again.
Forgetting the golden rule and rewarding wrong people are among the top four reasons Sykes lists for why employee wellness incentives fail.
Over the last three months, I've questioned the validity of health risk assessments and the ability of biometric-screening data to powerfully track wellness program performance. This has prompted many readers to ask, "So what do you suggest instead?" If you think that tracking wellness program performance, return-on-investment and cause-and-effect is impossible, think again.
Have you ever wondered, "Can we really measure the improvement in health that comes from wellness programs?" Most companies are using biometric screenings as their key tool for measuring health, on the assumption that it accurately measures the kind of health that matters most. Think again.
Last month, I made the case that health risk assessments are a poor tool for measuring the health of a population or a single individual, and the data they produce are not necessary for the design of good wellness programs. ("No more master key: Health risk assessments unnecessary for wellness plan design," EBN March)
Health risk assessments are used by most wellness program providers and employers as the key to opening the door to employee health improvement.