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Wellness Programs With Financial Incentives Through Disparities Lens
Alison Cuellar1, Anthony T LoSasso2, Mona Shah3
11 Department of Health Administration and Policy, George Mason University, Fairfax, VA, USA.
Purpose:
To examine wellness programs with financial incentives and their effect on disparities in preventive care.
Design:
Financial incentives were introduced by 15 large employers, from 2010 to 2013.
Setting:
Fifteen private employers.
Subjects:
A total of 299 436 employees and adult dependents.
Measures:
Preventive services and participation in financial incentives.
Analysis:
Multivariate linear regression.
Results:
Disparities in preventive services widened after introduction of financial incentives. Asians were 3% more likely and African Americans were 3% less likely to receive wellness rewards than whites and non-Hispanics, controlling for other factors.
Conclusion:
Federal law limits targeting of wellness financial incentives by subgroups; thus, employers should consider outreach and culturally appropriate messaging.
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