Ever since final rules under the Affordable Care Act dictated that outcomes-based wellness programs must offer reasonable alternatives to employees unable to achieve the program’s health benchmarks, employers have continued to worry over the effectiveness of their health improvement efforts.

The Business Roundtable, an association of chief executive officers of leading U.S. companies, expressed concern in a Wall Street Journal article recently that allowing employees to gain the incentive without achieving the wellness program’s benchmarks could lead to abuse. It could also hurt employees who are reaching the desired health outcome.

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