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The new rage in wellness is building outcomes-based programs which, depending on how you look at it, either provide an incentive to those that take care of their health or penalizes those who are unhealthy.

For those not familiar with this concept, this incentive is offered (most often a discount in their insurance premium) for achievement of a certain health standard. You may get a $100 annual discount for having healthy levels of cholesterol, $100 for having healthy levels of glucose, $100 for healthy blood pressure, and so on. By building in such a strong incentive, companies are able to drive very high levels of program engagement; often more than 90 percent of eligible employees. Many in the wellness field applaud this trend, because we are fed up with the days of offering health programming only to see 20 percent of the population show up to participate. Even more infuriating is when you realize that most of that 20 percent are your healthiest employees that are coming to prove to each other which of them are the most fit.

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