Are HRAs, Biometric Screens, and Incentives in the Pursuit

Here are the top five science-based reasons these tools are doing more harm than good. 1. HRAs*, at best, tell us what we already know and are usually intrusive, mostly irrelevant, and often incorrect in their prescriptions. And, they're expensive. 2. Biometric screens at the workplace are the practice of medicine by the employer, and sometimes violate HIPPA. They're often administered in excess of the recommendations established by the U.S. Preventive Services Task Force. And they're expensive. See "Wellness programs raise legal issues for employers" by Matt Dunning. 3. Incentives (carrots or sticks) reduce people to lab-rat status, and do not: a. work over the long term and never have. b. result, transition to, or cause intrinsic motivation (they destroy intrinsic motivation). c. support, cause, or jump start healthy behaviors. Note: And, drum roll please... they're expensive. See "How Financial Incentives/ Disincentives Undermine Wellness" by Dean Witherspoon or "Drive, The Surprising Truth About What Motivates Us" by Daniel Pink. 4. None of the above improves health or wellbeing in a population, reduces healthcare costs, or wins over employees. People understandably hate these things and only go through the drudgery of using this stuff if forced. Think of how much your dog loves going to the vet. See "Penn State Employees Protest Wellness Effort." 5. All of the above contributes to over diagnosis, misdiagnosis, over treatment, and unnecessary pain, stress, and expense - and in some cases, preventable disability, and maybe worse. Entering any healthcare facility as a patient, for any length of time, is one of the most risky undertakings one can take in our society. Care at any healthcare institution should be used with extreme caution by informed patients and their advocates. N05DdPdc
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