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Trends in Biometric Health Indices Within an Employer-Sponsored Wellness Program With Outcome-Based Incentives
Patricia Lin Fu1, Kent L Bradley2, Sheila Viswanathan3
1Nuna Inc, San Francisco, CA, USA patricia.lin.fu@gmail.com.
Purpose:
To evaluate changes in employees' biometrics over time relative to outcome-based incentive thresholds.
Design:
Retrospective cohort analysis of biometric screening participants (n = 26 388).
Setting:
Large employer primarily in Western United States.
Participants:
Office, retail, and distribution workforce.
Intervention:
A voluntary outcome-based biometric screening program, incentivized with health insurance premium discounts.
Measures:
Body mass index (BMI), cholesterol, blood glucose, blood pressure, and nicotine.
Analysis:
Followed were participants from their first year of participation, evaluating changes in measures.
Results:
On average, participants who did not meet the incentive threshold at baseline decreased their BMI (1%), glucose (8%), blood pressure (systolic 9%, diastolic 8%), and total cholesterol (8%) by year 2 with improvements generally sustained or continued during each additional year of participation.
Conclusion:
On average, individuals at high health risk who participated in a financially incentivized biometric assessment program improved their health indices over time. Further research is needed to understand key determinants that drive health improvement indicated here.
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