Health programs offer workers cash incentives to get fit © blue jean images/Getty Images

The Basics

Would you exercise for money?

Concerned about the deteriorating health of their workers and rising insurance costs, employers are introducing cash rewards for healthful living.

By Christopher Solomon
MSN Money

Would the promise of fattening your wallet motivate you to slim down?

An increasing number of employers, scared by ballooning employee waistlines and health care costs, are betting they can entice workers into healthful habits with incentives such as cold, hard cash -- up to $2,500 in some cases -- and friendly competition among co-workers.

Companies are cropping up to help employers get you out of the La-Z-Boy and walking around the block, including Virgin HealthMiles (owned by entrepreneur Richard Branson of Virgin Records fame), Tangerine and RedBrick Health.

"Our notion is pretty simple," says Sean Forbes, the president of Virgin HealthMiles, which works with about 130 companies nationwide. "People will do the right thing, especially if you pay them."

How it works

The Harlandale Independent School District in San Antonio had a problem -- a "big" problem, you might say.

San Antonio is ranked as one of the fattest cities in America, and the school district hasn't been immune. As the district saw the weight of employees rising, it also witnessed increases in the number of people with diabetes and pre-diabetes conditions.

"We thought, 'We need to do something to motivate,'" recalls Jane Eutsler, Harlandale's benefits administrator. "And we couldn't think of anything better than money. Because when you reward somebody, it's usually with food."

So the school district introduced the Virgin HealthMiles program in September 2008.

Here's how it works at Harlandale: Let's say you're a teacher and you sign up. You're sent a high-tech pedometer that you can wear all the time: walking the dog, jogging, strolling around the block. A few times each week, you plug the pedometer into any computer; an online program tracks the number of steps you've taken, along with other information.

You earn points for your steps. For instance, 7,000 steps (about three and a half miles of walking) earns 60 points for that day. "The more you walk, the more points you get," Eutsler says. You get points, too, for other things: getting your blood pressure, weight and body mass index checked at special stations; hitting your targets in those categories; even for logging on to the health website.

Accrue enough points to hit certain goals, and you'll get a reward -- usually cash or a gift card. For instance, in Harlandale's case, reaching the easy Level 1 requires 6,000 points and earns $25. By the time you've reached the fifth level, which takes about three months and 36,000 points, you've earned $150.

The rewards vary widely by employer. Some pay up to $2,500 annually. Some also offer lower insurance premiums for people who drop weight, lower their blood pressure or bolster other indicators of fitness.

546 pounds lost

At Harlandale, about half of eligible employees have signed up, and about half of those have remained active, uploading their steps, Eutsler says. Though it's too early to point to statistics proving the school district has saved money, she says, the anecdotal evidence is promising: Twenty-five percent of employees have seen improvements in their blood-pressure readings; for an additional 64%, their blood pressure has remained stable. The 50 or so people who regularly use the special kiosks to weigh themselves and check their vital signs have lost a total 546 pounds to date.

Harlandale's results aren't unique. Tangerine says its client companies see on average a fivefold return on their investment from reductions on medical claims, lower absenteeism and better worker productivity.

Lori Flores is one of those for whom it's working. Previously, "I wasn't as healthy as I should have been but never got motivated to do anything" about it, says Flores, 35, a teaching assistant at Harlandale's Carroll Bell Elementary. Then she saw her co-workers' excitement in the HealthMiles program and decided to join in, figuring she might make some money to boot.

"It's going great," she says. "I've lost 30 pounds and been able to keep off the weight, and I have been able to be a little more conscious about what I eat."

Continued: For health, not money

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40Comments
12/15/2010 5:10 PM
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My company started the Virgin Healthmiles program at the beginning of this year. I didn't participate right away, but I decided to try it. I had an elliptical machine in my basement gathering dust...now it's getting used regularly. I walk and hike and I am getting paid. It's a great incentive....so if it works, companies should invest. It's cheaper than insurance, OBAMACARE or not-get over that. I do things I didn't do before I started the program-like using the elliptical. Would I continue if the financial incentive wasn't there? I'm not sure. But right now it's working for me.
9/21/2010 5:56 AM
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Obamacare will make you diet or no healthcare for you!
9/20/2010 3:22 PM
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I think people need time more than they need money to exercise. If employers are so concerned about health, how about restricting the work week to 40 hours?

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Why can't we all get a cash reward for making an effort to be healthy?  I workout 5-6 days a week, eat right, and don't smoke, do drugs, and have the occasional drink with dinner.  When I BARELY-RARELY have to go to the doctor, why should I still have to pay almost $400 a month premium???  
9/20/2010 1:14 PM
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I would exercise for money.  Of course, I would be making myself healthier and being rewarded!
9/20/2010 11:54 AM
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Not all overweight people are un healthy, the drinkers and the smokers, yes the druggies too, should pay the premium insurance rates instead of collecting disability and a union pension.
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BUYER BEWARE!  This is just the latest DISTRACTION in the insurance game, where insurance companies POSING as medical professionals seek to extract "LEGITIMATE M.D."- level pricing $dollars for merely MARKETING of layman's or promoter's level EXERCISE and NUTRITION and SUPPLEMENTS/HERBS advice that is widely available in health clubs and throughout MLM pyramids.  This is NOT preventive "care" but the ratcheting down to "DMV care" as prelude to rationing.  WAKE UP! There is nothing wrong with exercise - the human's made for movement and locomotion - but why does anyone need to PAY the BIG INSURANCE-BIG GOVERNMENT ALLIANCE for THAT as "care"?
9/20/2010 9:47 AM
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This program is BS!! I workout 3 times a week for an hour to an hour and a half each time.  I do no cardio whatsoever because I am near the low end of the BMI scale where I actually almost need to gain weight.  How bout just making me pay less for insurance.  My back is getting stronger, but I don't know how many more overweight people i can carry.
9/17/2010 4:17 AM
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Maybe just  give an exam every year and you pay more if you are overweight. Bad drivers pay more for insurance why not people that are overweight. Overweight people cost us over 800 billion dollars a year.

 

9/16/2010 9:01 AM
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What about those of us in great shape because we already take care of ourselves?  We get nothing and aren't asking for anything.  How about you take money away from the lazy fatazzes that don't take care of themselves!  Another stupid liberal program!
9/14/2010 7:16 PM
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Yes, I would like to earn money walking.  Please provide the web address to begin.  Thank you.

9/14/2010 6:28 AM
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Why do we always have to

give incentives to people so that

they do what they are suppose to do anyway?

It is like getting paid because I tie my shoelaces...

Instead, cut the paycheck of people that don't

do the program.

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Exercise for a quality of life for yourself.. not for your employer! Teach your children to motivate themselves.. someone wont always be there to do it for them!
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does anyone know the name of a Dental insurance that can be bought with out a big premium and a without a group plan? There used to be lots of them, but since the deregulation.. there seems to be none. And State legislature.. Please make sure these policies are equitable. Why do we want to buy a plan for three times the premium that only pays 25% on dental surgery. If you qualify auto insurance .. then qualify dental insurance too! dont drop the ball its a consumer area that has long needed improvements!
9/11/2010 12:57 PM
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Employee health waning.....?

Give me a break.  Employers today seem to think if you are their payroll, they own you.  They want you to be available to work at any time 24 hours a day at their discretion and they care not one iota about the affect such a schedule has on your health.  Study after study details the effects of irregular sleep, irregular eating schedules, lack of down time and the stress all of the above can have on the lives of their employees.  And they wonder why people lose their cool and blow away their managers - if these people truly are crazy, their employers drove them to it.

And then their are the firms that want their customers to manage everything "online" without one thought as to the time this process takes away from their customers or the time it takes their customers away from their families.

Start holding business responsible for their greed and we can turn this country around.

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Celebrities do it all the time when they are paid to work for several popular weight control companies. And Joy Behar recently said something about being paid to do it again because she gained 10 pounds back after it was over.  I absolutely am FOR this 100%. Whine all you want, it's a motivator and people are motivated by different things. And don't assume everyone can exercise the same. I have mobility issues and walking is something I used to love. Now it's almost impossible.
9/11/2010 11:03 AM
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Really?.....dangling​ money in front of people in order to get them fit?  I hate how this country seems to reward groups of people for being lazy and complacent with their health or other issues.  When the housing market crashed, we have to offer "bailouts" to help keep people in their homes who lived outside their means, where other families who didn't need to play "keep up with the Jones's" and can keep tabs on their own finances  get nothing!  Now we have to give money to people who won't exercise?  How about rewarding people who DO take care of themselves with decreased health insurance rates or increased coverage or do away with deductibles?  That would be a better overall situation.....make obese and unfit/unhealthy people work to get those discounts instead of offering them more financial help where healthy/fit people are left out!
9/11/2010 9:59 AM
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I especially like the picture at the top of the article of three skinny people stretching. Yes, those people clearly ought to be paid to lose weight! I'm quite sure that it is the job of the employer to offer tangible benefits for weight loss; I have heard of places that even offer cruises for employees who lose a certain amount of weight. Like those 115 pound kids fresh out of college. I'm sure that after losing 50 pounds and going on a cruise, those individuals will feel happy, healthy, and fulfilled!
9/11/2010 9:57 AM
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People in this blog have been asking why fit employees don't get extra perks for being fit. Actually, they already do.  Statistically, fit people are paid more than obese people anyway.  This is a fact.  I'm not saying that people should be paid to lose weight, but I just want to present the facts.

 

Why don't we stress nutrition education constantly in schools? Why don't we force all restaurants and food vendors to post nutrition information. The solutions are already out there, but there will always be a group that opposes it. And this group usually wins because they are rich, powerful, and determined to protect their profits.

 

The people with the most power in this country have the most money. They don't want anything to take that away from them, even if that means pushing for laws that benefit them, but are detrimental to the masses.

9/11/2010 8:59 AM
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Yes. this is an excellent idea.
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