Structuring health and wellness plans to include incentives that encourage engagement has been a tricky proposition for plan designers. But the popularity of incentives has generally overcome legal concerns as employers seek plans that help employees stay healthy.

But how well do incentives work? A study from Cigna offers insight into the question.

Its study examined information from some 200,000 covered plan members, and tracked results based upon the behavior of those who did, and did not, participate in such basic wellness plan activities as biometric screenings.

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The study found that incentives:

  • More than doubled biometric screening rates from 20 percent in 2013 to 55 percent in 2014

  • Increased the probability of engaging in a coaching program by 24 percent and, in particular, by 30 percent for populations who have chronic conditions

  • Increased the probability of setting and meeting goals with a health coach by 18 percent and 43 percent, respectively.

Read: Navigating wellness incentives

When the study looked at specific health areas, it found that incentives increased the probability of meeting biometric targets:

  • BMI less than 30 – 36 percent improvement

  • Total cholesterol less than 240 – 11 percent improvement

  • Blood pressure less than 140/90 – 47 percent improvement

Cigna reported that incentives helped reduce health coverage costs for those 50 years of age and older, or those with multiple chronic conditions, by 10 percent.

The cost of failing to participate in such basic wellness plan engagement as undergoing biometric screenings comes with a high price tag, the study found. Cigna reported:

  • "Those who have not had a biometric screening of their blood pressure values on average have total health costs which are $2,064 higher per year, and $400 more in out-of-pocket costs, than those who have verified that their blood pressure is lower than 140/90."

  • "Those who have not had a biometric screening of their blood glucose values on average have total health costs which are $1,332 higher per year, and $266 more in out-of-pocket costs, than those who have verified that their blood glucose is lower than 100."

"Employers are increasingly rewarding employees who identify and address their potential health risks, by discounting the employee's health plan premiums or adding funds to their health spending account to lower their annual out-of-pocket expenses," said Cigna's Chief Nursing Officer, Mary Picerno. "In 2014 Cigna distributed more than $80 million in rewards to Cigna group health plan customers who completed 1.6 million health goals. In the first eight months of 2015, Cigna customers have earned $93,814,080 in awards through their employer incentive programs."

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.