Guidance for a reasonably designed, employer-sponsored wellness program using outcomes-based incentives
Consensus Statement of the Health Enhancement Research Organization American College of Occupational and Environmental Medicine (ACOEM) American Cancer Society (ACS) American Cancer Society Cancer Action Network (ACSCAN) American Diabetes Association American Heart Association (AHA)
Journal of Occupational & Environmental Medicine, Volume 54, Issue 7, Pages 889–896.
Objective: To provide guidance regarding appropriate use of outcomes-based incentives as part of a reasonably designed wellness program designed to improve health and lower cost while protecting employees from discrimination and unaffordable coverage.
Methods: The process included reviewing the literature, regulations, case studies, and other resources while developing consensus through numerous group discussions.
Results: We offer guidance on the elements of a reasonably designed wellness program that should be in place if outcomes-based incentives are deployed and identify strategies to help ensure that effective and fair programs are put in place and evaluated.
Conclusions: We strongly encourage employers using outcomes-based incentives as part of wellness initiatives to incorporate these elements of a reasonably designed wellness program and consider this guidance for the design, implementation, and evaluation of such programs.