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Ask HN: Do wellness incentives help employers save money on taxes and insurance?

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Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#21

Earlier quoted context omitted.

Orthogonal issue but here is what I think -- While I agree that privacy is of great concern, I do think the way to approach this would be with more frequent health checkups. Our body is the best marker at the end of the day to measure our healthiness. Everything else doesn't matter, which is also the reason the allure of wearables is wearing out. (It's great, but what do you do now that you have all this data that yo…

Yeah but how? There aren't enough primary care doctors and the work is being farmed out to nurse practitioners and physician's assistants (and anyone who says the quality of care is just the same hasn't experienced it)

> There aren't enough primary care doctors and the work is being farmed out to nurse practitioners and physician's assistants

Thanks for the insight, but is there any empirical evidence here?

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#22
post #10

It's a privacy invasion scam. At a previous employer they wanted to track our steps and our GPS location and also wanted us to record every glass of water we drink. It's a disgusting ruse. I don't care if they were going to give me $300/yr, my privacy is worth more than that.

Orthogonal issue but here is what I think -- While I agree that privacy is of great concern, I do think the way to approach this would be with more frequent health checkups. Our body is the best marker at the end of the day to measure our healthiness. Everything else doesn't matter, which is also the reason the allure of wearables is wearing out. (It's great, but what do you do now that you have all this data that yo…

They also gave "points" in this reward system for recording visits to doctor, dentist, proving you had an annual physical, etc.

I'm sorry but while it's great to encourage that behavior it's not my employer's not my insurance company's business to know these details about my healthcare.

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#23
post #22

Earlier quoted context omitted.

Orthogonal issue but here is what I think -- While I agree that privacy is of great concern, I do think the way to approach this would be with more frequent health checkups. Our body is the best marker at the end of the day to measure our healthiness. Everything else doesn't matter, which is also the reason the allure of wearables is wearing out. (It's great, but what do you do now that you have all this data that yo…

They also gave "points" in this reward system for recording visits to doctor, dentist, proving you had an annual physical, etc. I'm sorry but while it's great to encourage that behavior it's not my employer's not my insurance company's business to know these details about my healthcare.

Agreed. In your case, it looks the ratio of info/value is really high. Honestly, this is the first time I have heard such an exploitation of personal health related data from an employer. Was this a large org? (Would understand if a small startup did this..perhaps lack of know-how. Still very alarming though.)

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#24
post #20

Earlier quoted context omitted.

Does your car insurance company require you to install a GPS tracker in your car so they can keep track of everywhere you go? Because that would be much more analogous to what the parent describes.

No, but many of them give you a discount for installing an accelerometer/gps speed sensor.

Aren't auto insurance (your choice of provider) and employer provided health insurance (no choice) tangential things?

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#25
post #22

Earlier quoted context omitted.

They also gave "points" in this reward system for recording visits to doctor, dentist, proving you had an annual physical, etc. I'm sorry but while it's great to encourage that behavior it's not my employer's not my insurance company's business to know these details about my healthcare.

Agreed. In your case, it looks the ratio of info/value is really high. Honestly, this is the first time I have heard such an exploitation of personal health related data from an employer. Was this a large org? (Would understand if a small startup did this..perhaps lack of know-how. Still very alarming though.)

Yes, a large org; an electrical and gas utility company.

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#26

If you look a little deeper, the foundation of the concept of "Wellness Programs" is to raise all rates paid by employees across the board, then provide discounts for behaviors that are approved (basically sharing PMI data with a 3rd party). In the US this is because - to my understanding - laws prevent insurance companies and companies from 'discriminating' in their pricing. As in, they can't penalize most people fo…

Thanks for the insight. I think you bring a very good perspective to this. Although I am not very sure, what you really mean by saying "a lot of lifestyle changes needed to promote genuine health aren't really incorporated"...do you mean the employers don't promote them? Or the incentives you are relating to don't fall under the "wellness program" benefits in general to receive a credit/discount (from the standpoint…

I think he means that they promote the aspects of wellness that are easily observable, because these are the things that an insurer pays attention to when setting a price.

For instance, an insurer won't take any interest in your diet, because that's hard to measure, but they will take a keen interest in your BMI and cardiovascular fitness.

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#27
post #10

It's a privacy invasion scam. At a previous employer they wanted to track our steps and our GPS location and also wanted us to record every glass of water we drink. It's a disgusting ruse. I don't care if they were going to give me $300/yr, my privacy is worth more than that.

With population analytics, it needn't invade your privacy at all. Companies are risk pools. Wellness companies don't need the private data and, worse, requiring it means less useful data (e.g., substances, mental health, etc). There's room here for innovation on privacy and population risk assessments.

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#28

If you look a little deeper, the foundation of the concept of "Wellness Programs" is to raise all rates paid by employees across the board, then provide discounts for behaviors that are approved (basically sharing PMI data with a 3rd party). In the US this is because - to my understanding - laws prevent insurance companies and companies from 'discriminating' in their pricing. As in, they can't penalize most people fo…

As in, healthier diet of fresh foods, better rest at night, free access to exercise facilities.

And yet, a stressful work environment will lead to unhealthy eating habits, less restful sleep, and less exercise if not a dedicated routine to combat the stress. Amazing to me that stress is a still a bastard stepchild of health when it affects health and performance.

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#29
post #20

Earlier quoted context omitted.

No, but many of them give you a discount for installing an accelerometer/gps speed sensor.

Aren't auto insurance (your choice of provider) and employer provided health insurance (no choice) tangential things?

Are they?

Edit: Even if you decide not to opt-out of employer provided coverage, you don't have to participate in the wellness program, just as you don't have to participate in the gps tracking.

Re: Ask HN: Do wellness incentives help employers save money on taxes and insurance?

#30
post #22

Earlier quoted context omitted.

Orthogonal issue but here is what I think -- While I agree that privacy is of great concern, I do think the way to approach this would be with more frequent health checkups. Our body is the best marker at the end of the day to measure our healthiness. Everything else doesn't matter, which is also the reason the allure of wearables is wearing out. (It's great, but what do you do now that you have all this data that yo…

They also gave "points" in this reward system for recording visits to doctor, dentist, proving you had an annual physical, etc. I'm sorry but while it's great to encourage that behavior it's not my employer's not my insurance company's business to know these details about my healthcare.

>not my insurance company's business to know these details about my healthcare.

What exactly do you imagine a health insurance company is? Dealing with the details of your healthcare is the entire reason it exists.

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