Wellness programs and lifestyle discrimination--the legal limits.

نویسندگان

  • Michelle M Mello
  • Meredith B Rosenthal
چکیده

“Personal responsibility” has become a recurrent theme in debates about health care financing.1 In addition to asking consumers to make betterinformed choices in seeking care, many payers are focusing on individual health behaviors as drivers of health spending. In a recent national poll, 91% of employers believed that they could reduce their health care costs by influencing employees to adopt healthier lifestyles.2 Many health plans and employers now not only provide access to wellness programs but also offer incentives for participation.3 Incentives can be framed as rewards or penalties and may take the form of prizes, cash, or the waiver of payment obligations. FedEx, for example, pays $50 to employees with diabetes who participate in its diseasemanagement program and get both a test for glycated hemoglobin and a retinal examination.4 More controversially, some employers have begun penalizing employees financially or taking other adverse action on the basis of health risks such as smoking and obesity. In an extreme case, the lawn care company Scotts Miracle-Gro fired an employee on the basis of the results of a drug test that detected tobacco use.5 The ethical issues surrounding wellness incentive programs have stirred considerable discussion,6,7 but the legal dimensions are not well understood. In this article, we examine the extent to which employers and health plans can provide rewards or otherwise adjust individual health insurance costs based on the steps employees or plan members take to reduce their health risk.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Health and Wellness Policy Ethics

This perspective is an ethical brief overview and examination of “wellness” policies in the modern workplace using practical examples and a general application of utilitarianism. Many employers are implementing policies that provide incentives to employees who lead a “healthy” lifestyle. The authors address how these policies could adversely affect “non-healthy” employees. There are a wide vari...

متن کامل

Corporate Wellness Programs: Implementation Challenges in the Modern American Workplace

Being healthy is important for living well and achieving longevity. In the business realm, furthermore, employers want healthy employees, as these workers tend to be more productive, have fewer rates of absenteeism, and use less of their health insurance resources. This article provides an overview of corporate “wellness” efforts in the American workplace and the concomitant challenges which em...

متن کامل

Workplace Wellness Programs: Services Offered, Participation, and Incentives.

This article leverages existing data on wellness programs to explore patterns of wellness program availability, employers' use of incentives, and program participation and utilization among employees. Researchers used two sets of data for this project: The first included data from the 2012 RAND Employer Survey, which used a nationally representative sample of U.S. employers that had detailed in...

متن کامل

Financial Incentives: Only One Piece of the Workplace Wellness Puzzle; Comment on “Corporate Wellness Programs: Implementation Challenges in the Modern American Workplace”

In this commentary, we argue that financial incentives are only one of many key components that employers should consider when designing and implementing a workplace wellness program. Strategies such as social encouragement and providing token rewards may also be effective in improving awareness and engagement. Should employers choose to utilize financial incentives, they should tailor them to ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • The New England journal of medicine

دوره 359 2  شماره 

صفحات  -

تاریخ انتشار 2008