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Benchmarks in Health &
Wellness Incentives,
2011 Edition
Data to Drive Health Promotion,
Compliance and ROI
presented by the
Healthcare Intelligence Network
A publication of:
The Healthcare Intelligence Network
800 State Highway 71, Suite 2
Sea Girt, NJ 08736
Phone: (732) 449-4468
Fax: (732) 449-4463
http://www.hin.com
© 2011, Healthcare Intelligence Network — http://www.hin.com

Benchmarks in Health & Wellness
Incentives, 2011 Edition
Data to Drive Health Promotion,
Compliance and ROI
This special report is based on results from the third annual Healthcare Intelligence
Network Health and Wellness Incentives Benchmark Survey administered in March
2011 and includes expert commentary from a recent webinar on population health
management.
Contributing Speaker
Neal Sofian, MSPH, director of member engagement at Premera Blue Cross
Executive Editor
Melanie Matthews
HIN executive vice president and chief operating officer
Project Editors
Patricia Donovan
Jackie Lyons
Jessica Papay
Cover Design
Jane Salmon
© 2011, Healthcare Intelligence Network — http://www.hin.com Page

Table of Contents
About the Healthcare Intelligence Network............................................................. 7
Executive Summary.................................................................................................. 7
Survey Highlights .....................................................................................................8
Key Findings............................................................................................................. 8
Comparison of 2010 Data to 2011 Data....................................................................10
Comparison of Top 3 Sector Responses ..................................................................10
Methodology.......................................................................................................... 12
Analysis of Responses............................................................................................. 12
Overview of Survey Results ................................................................................... 12
Respondent Demographics .................................................................................... 13
Program Challenges and Barriers .......................................................................... 13
The Employer Perspective ..................................................................................... 14
The Consultant Perspective ................................................................................... 16
The Health Plan Perspective .................................................................................. 16
Respondents in Their Own Words...........................................................................18
Conclusion.............................................................................................................. 21
Responses to Questions..........................................................................................23
Part I: Overall Survey Responses............................................................................ 23
1:01: Offering Incentives Program................................................................... 23
1:02: Incentivized Health Improvement Programs..........................................24
1:03: Economic Incentives Offered.................................................................24
1:04: Benefit-Based Incentives........................................................................ 25
1:05: Top Three Incentives (Overall Ranking).................................................. 25
1:06: Most Effective Incentives.......................................................................26
1:07: Ways Incentives Are Used......................................................................26
1:08: Penalties for Health Risks....................................................................... 27
1:09: Program Promotion Methods................................................................ 27
1:10: Participant Identification Methods.........................................................28
1:11: Program Eligibility....................................................................................28
1:12: Future Programs......................................................................................29
1:13: Program Success Measurement .............................................................29
1:14: Most Positive Response..........................................................................30
1:15: Program Impact.......................................................................................30
1:16: Program ROI............................................................................................ 31
1:17: Organization Type.................................................................................... 31
Part II: Responses from Employers......................................................................... 32
1:18: Employers - Offering Incentives Program................................................ 32
1:19: Employers - Incentivized Health Improvement Programs ......................33
1:20: Employers - Economic Incentives........................................................... 33
© 2011, Healthcare Intelligence Network — http://www.hin.com Page

1:21: Employers - Benefit-Based Incentives.....................................................34
1:22: Employers - Top Three Incentives (Overall Ranking)..............................34
1:23: Employers - Most Effective Incentives.................................................... 35
1:24: Employers - Ways Incentives Are Used.................................................. 35
1:25: Employers - Penalties for Health Risks................................................... 35
1:26: Employers - Program Promotion Methods.............................................36
1:27: Employers - Participant Identification Methods.....................................36
1:28: Employers - Program Eligibility............................................................... 37
1:29: Employers - Future Programs................................................................. 37
1:30: Employers - Program Success Measurement ........................................38
1:31: Employers - Most Positive Response......................................................38
1:32: Employers - Program Impact.................................................................39
1:33: Employers - Program ROI........................................................................39
Part III: Responses from Consultants.....................................................................39
1:34: Consultants - Offering Incentives Program........................................... 40
1:35: Consultants - Incentivized Health Improvement Programs................... 40
1:36: Consultants - Economic Incentives........................................................ 40
1:37: Consultants - Benefit-Based Incentives.................................................. 41
1:38: Consultants - Top Three Incentives (Overall Ranking)........................... 41
1:39: Consultants - Most Effective Incentives.................................................42
1:40: Consultants - Ways Incentives Are Used................................................43
1:41: Consultants - Penalties for Health Risks.................................................43
1:42: Consultants - Program Promotion Methods..........................................44
1:43: Consultants - Participant Identification Methods..................................44
1:44: Consultants - Program Eligibility............................................................45
1:45: Consultants - Future Programs...............................................................45
1:46: Consultants - Program Success Measurement ......................................46
1:47: Consultants - Most Positive Response....................................................46
1:48: Consultants - Program Impact............................................................... 47
1:49: Consultants - Program ROI..................................................................... 47
Part IV: Responses from Health Plans....................................................................48
1:50: Health Plans - Offering Incentives Program...........................................48
1:51: Health Plans - Incentivized Health Improvement Programs...................48
1:52: Health Plans - Economic Incentives........................................................49
1:53: Health Plans - Benefit-Based Incentives.................................................49
1:54: Health Plans - Top Three Incentives (Overall Ranking)..........................50
1:55: Health Plans - Most Effective Incentives................................................50
1:56: Health Plans - Ways Incentives Are Used................................................51
1:57: Health Plans - Penalties for Health Risks.................................................51
1:58: Health Plans - Program Promotion Methods......................................... 52
1:59: Health Plans - Participant Identification Methods................................. 52
© 2011, Healthcare Intelligence Network — http://www.hin.com Page

1:60: Health Plans - Program Eligibility........................................................... 53
1:61: Health Plans - Future Programs.............................................................. 53
1:62: Health Plans - Program Success Measurement .....................................54
1:63: Health Plans - Most Positive Response..................................................54
1:64: Health Plans - Program Impact............................................................. 55
1:65: Health Plans - Program ROI.................................................................... 55
Glossary................................................................................................................. 56
Appendix A: Health & Wellness Incentives Benchmark Survey Tool........................57
About the Speaker................................................................................................. 59
© 2011, Healthcare Intelligence Network — http://www.hin.com Page

About the Healthcare Intelligence Network
The Healthcare Intelligence Network (HIN) is an electronic publishing company providing
high-quality information on the business of healthcare. In one place, healthcare
executives can receive exclusive, customized up-to-the-minute information in five
key areas: the healthcare and managed care industry, hospital and health system
management, health law and regulation, behavioral healthcare and long-term care.
Executive Summary
Healthcare companies have grown increasingly creative in their use of economic and
benefits-based incentives to drive engagement and participation in health and wellness
programs.
Benefit-based
incentives are
considered
to be most
effective at
generating
the highest
participation/
engagement
levels.
In its third annual Health and Wellness Incentives Use e-survey administered in March
2011, the Healthcare Intelligence Network continued to capture the expanding focus,
utilization and impact of health and wellness incentives in the healthcare industry, from
types of incentives offered to methods for identifying individuals for incentive programs
and reasons for providing incentives. Through responses provided by 156 healthcare
organizations to 27 multiple choice and open-ended questions, the survey results reveal
the growing interest in offering incentives for participation in health improvement
programs and the continued popularity of incentives for HRA completion.
© 2011, Healthcare Intelligence Network — http://www.hin.com Page

Do you plan to offer incentives and rewards for health program participation in the next 12 months?
1:12: Future Programs
Source: HIN Incentives Survey
March, 2011
©2011
Which data is reviewed to measure the success of your incentive programs?
1:13: Program Success Measurement
Source: HIN Incentives Survey
March, 2011
©2011
© 2011, Healthcare Intelligence Network — http://www.hin.com Page 30

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60 pages
A follow-up to the best-selling 2009 and 2010 editions,
Benchmarks in Health & Wellness Incentives, 2011
Edition is packed with actionable new data on current and
planned incentives activity, presented in more than 65 easyto-follow
graphs and tables.
This resource provides information from 156 healthcare
organizations on the use of incentives to promote health
behavior change. This essential resource has been compiled
from an analysis of responses to HIN’s third annual survey
on the use of health & wellness incentives, administered in
March 2011.
Includes:
•
•
•
•
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A comparison of responses to key questions from
the top three responding sectors: employers,
consultants and health plans;
Metrics on incentives for key health improvement
activities: blood pressure control, health coaching,
advance directives, preventive screening, and
others;
Drill-down detail on the types of benefit-based
incentives in use;
The most successful health incentive strategies
employed by respondents, as described in their own
words;
The top program communication methods; and
How organizations measure the success of an
incentive program.
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