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From the Editor
Editor's Notes Mar/Apr 2010

Integrating Financial Incentives for Workplace Health Promotion into Programs Health Plan Premiums Is the Best Idea Since Sliced Bread


Michael O'Donnell photo 

Current Health Insurance Portability and Accountability Act (HIPAA) regulations allow employers to offer a 20% differential in health plan premiums charged to employees who either meet a health goal—like not smoking, achieving a recommended body mass index (BMI) level, high density lipoprotein cholesterol (HDL) level, blood pressure, or similar measure—or participate in a health promotion program.1 For example, if the total cost of the health premium for an individual was $5000, and the employer paid 70% of the total premium, all employees would have annual premiums of $1500 (30% of $5000 is $1500). With differential premiums, employees who met the health goal or participated in the program would have premiums of $1000 per year (20% of $5000), whereas employees who did neither would have premiums of $2000 per year (40% of $5000). A handful of employers have implemented premium differential programs like this with the goal of controlling their medical costs and motivating employees to improve their health. However, most employers are reluctant to implement these premium differential programs because their authority to do this is established through HIPAA regulations, not through legislative statute. Employers are concerned that the regulations could change at any time with short notice.    Read Morev read more

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Definition of Health Promotion

Health Promotion is the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them in changing their lifestyle to move toward a state of optimal health. Optimal health is a dynamic balance of physical, emotional, social, spiritual, and intellectual health. Lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills and, most important, through the creation of opportunities that open access to environments that make positive health practices the easiest choice.
O’Donnell MP. Definition of health promotion 2.0: embracing passion, enhancing motivation, recognizing dynamic balance, and creating opportunities. Am J Health Promot. 2009 Sept-Oct;24(1):iv.

Health Promotion Definition graphic
Physical Fitness.  Nutrition.  Medical self-care.  Control of substance abuse.
Emotional Care for emotional crisis.  Stress Management
Social Communities.  Families.  Friends
Intellectual Educational.  Achievement.  Career development
Spiritual Love.  Hope.  Charity.

Our definition of health promotion guides the editorial content of all of our publications.v read more

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American Journal of Health Promotion 248-682-0707

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