Be Well—Or Else
Skip to content
Aug 20, 2013

Be Well—Or Else

By Jessica Love

Employer wellness programs are on the rise. In 2009, according to The Wall Street Journal, 57% of employers used incentives to coax employees into participating in health assessments and other preventive activities. Now that number is up to 86%. As evidenced by this explosive growth, companies are willing to try just about anything to curb ever-increasing health care costs. The idea? Joel Shalowitz, a clinical professor of management and strategy at the Kellogg School, explains that theoretically employers can lower health costs “by gathering data and anticipating health care problems by identifying certain profiles of high-risk patients.”

But Shalowitz, who has studied the health industry extensively, fears that the challenges posed by wellness programs may well overwhelm their potential benefits. Indeed, if the recent rebellion displayed by employees of Penn State University is any indication—employees were asked to stomach annual surcharges of $1200 unless they submitted to online wellness questionnaires, physical exams, and biometric screenings—concerns are only growing.

A Matter of Privacy and Efficacy
For one, there is the little issue of privacy. Employees may not feel comfortable answering sensitive health-related questions from anyone but their doctors. Sure, HIPAA stipulates how medical information can be used—disallowing, for instance, the transfer of protected information to outside parties, including most employers. But as recent security breaches across all industries have demonstrated, the chasm between aiming to protect data and actually protecting it is discouragingly vast.

A related problem, says Shalowitz, is that of intrusion. Once an insurer identifies high-risk patients, how will it funnel them into the all-important preventive services? Call them on the telephone? Send them letters or emails? Employees may feel harassed, or even bullied.

Finally, the efficacy of these preventative services is not at all clear. Most programs are rather toothless, as people generally can’t be forced to change unhealthy behaviors—and, under the Affordable Care Act, can only be penalized to a limited degree. And even if an employee is willing to make changes, there’s still no guarantee her efforts will prove successful. “You follow the recommendations, do what you’re supposed to do, and what’s the evidence that these things actually work?” asks Shalowitz. “The evidence is very spotty. There are some programs that work in some places, but it is not the same as saying, ‘If you do this you will get better.’”

Making It Work
Still, if companies are committed to implementing wellness programs, says Shalowitz, there are right ways to do so, and there are wrong ways. Penn State’s problem, he says, “is not necessarily what they did but how they did it.” It was, in fact, “very typical of what not to do. You have to involve the people who are going to change their behavior. This is like Psych 101.”

So what works? Not threats or arguments, but peer pressure. “Campaigns about paying taxes don’t work. What works is saying, ‘Did you know that 98% of your neighbors pay their full share of taxes on time?'" says Shalowitz. The key is to establish the normalcy of healthy behaviors, “and then put peer pressure on top of that.”

And it isn’t enough to wield sticks or carrots to enact permanent health changes. Companies would be wise to consider also altering the underlying stimuli that lead us to behave unhealthily. Consider what causes us to reach for that donut or cigarette. “Instead of taking a smoking break, what could you do? You could pair up with someone and go take a walk,” says Shalowitz, “because the stimulus is taking a break: something pleasurable and relaxing.”

Photo credit: Wikimedia

Editor’s Picks

A mentor puts capes on proteges.
Careers

Podcast: How to Be a Great Mentor

Plus, some valuable career advice that applies to just about everyone.

Kids decide whether to buy water or soda.
Marketing

A New Way to Persuade Kids to Drink More Water and Less Soda

Getting children to make healthy choices is tricky—and the wrong message can backfire.

Computational Social Scientists discuss solutions.
Innovation

How Can Social Science Become More Solutions-Oriented?

A conversation between researchers at Kellogg and Microsoft explores how behavioral science can best be applied.

An entrepreneur enters an established company.
Innovation

Buying a Company for Its Talent? Beware of Hidden Legal Risks.

Acquiring another firm’s trade secrets—even unintentionally—could prove costly.

Careers

Take 5: Tips for Widening—and Improving—Your Candidate Pool

Common biases can cause companies to overlook a wealth of top talent.

Drug innovation at a pharmaceutical company
Innovation

Everyone Wants Pharmaceutical Breakthroughs. What Drives Drug Companies to Pursue Them?

A new study suggests that firms are at their most innovative after a financial windfall.

Careers

4 Key Steps to Preparing for a Business Presentation

Don’t let a lack of prep work sabotage your great ideas.

Healthcare workers meet in a hospital corridor.
Healthcare

Video: How Open Lines of Communication Can Improve Healthcare Outcomes

Training physicians to be better communicators builds trust with patients and their loved ones.

A man tries to improve OR scheduling.
Operations

Here’s a Better Way to Schedule Surgeries

A new tool could drive savings of 20 percent while still keeping surgeons happy.

Voters who do not trust each other.
Politics & Elections

Why Economic Crises Trigger Political Turnover in Some Countries but Not Others

The fallout can hinge on how much a country’s people trust each other.

A clerk scans brand trademarks.
Marketing

Building Strong Brands: The Inside Scoop on Branding in the Real World

Tim Calkins’s blog draws lessons from brand missteps and triumphs.

two coffee growers harvest beans
Economics

How the Coffee Industry Is Building a Sustainable Supply Chain in an Unstable Region

Three experts discuss the challenges and rewards of sourcing coffee from the Democratic Republic of Congo.