While much of this survey, of large employees by the National Business Group on Health, pertains to the US private insurance approach and how costs are increasingly passed on to employees, some elements of increased emphasis on wellness are particularly interesting:
- About half of companies surveyed use incentives to encourage participation in wellness programs
- More than 40 percent provide an incentive for not using tobacco
- Just under 25 percent have chosen a more punitive approach (surcharges for non-participation)
In the public system in Canada, no such programs that I am aware of, but some of the additional health costs from tobacco and alcohol are picked up in the form of higher taxes on these items.