More money doesn't help incentives, yet incentives doubled in last four years. The incentive payment itself is greater than the amount being spent on the bad habit.
HLM: How does an employer redeem an existing program to make sure it's serving employees appropriately?
Lewis: Let go of the large consulting firms. If they are supporting wellness, they want to generate more activity. When you get independent consultants, they won't have any stake in the outcome.
Make a two-by-two matrix and put in one column, 'These are things we do to our employees in the name of wellness.' Then the second column, 'These are things we do for our employees in the name of wellness.'
Then take as many things as possible out of the first category, and realize these things are such bad ideas that we have to pay people to do them. Instead, examine what you can do for your population so that they will like your program so much they will voluntarily sign up.