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Penn State To Penalize Workers Who Refuse Health Screenings

Aug 2, 2013
Originally published on August 2, 2013 2:02 pm

If you work for Penn State and don't agree to step on a scale or have your waist measured, it could soon cost you $100 a month. The Pennsylvania State University is joining a growing list of employers penalizing workers who want company-sponsored health benefits but refuse to participate in health improvement programs.

University officials say they need to take dramatic steps to reduce health care costs, and getting their workers in shape is one way to do it.

Penn State expects to spend $217 million this year for its health plan, which covers about 40,000 individuals (employees and their family members). Vice President for Human Resources Susan Basso says costs were projected to rise 14 percent next year. She hopes to reduce that to a 5 percent rise through a series of measures that will go into effect by Jan. 1, 2014, and include the Take Care of Your Health initiative.

"The only other way to manage these rising costs is to continue to pass these costs on to the employees, in terms of their premiums," says Basso.

Some employees already have signed up for the required "biometric screenings." The university says more than a quarter of the available appointments have been filled. These screenings include things like testing blood sugar, weight and waist size. And the university says more than 2,700 people have completed the online part of the new requirements — that includes a wellness profile administered by WebMD.

But one professor is encouraging his colleagues to throw a monkey wrench into the works. Matthew Woessner, an associate professor of political science and public policy at Penn State's Harrisburg campus, has written a letter calling on employees to protest Penn State's health improvement program.

Woessner says he's filled out his WebMD profile with nonsense. "I'm 3 feet 8 inches tall, I weigh 50 pounds, [and] my last cholesterol check was when I was six months old," he says, reading from the profile on his computer screen.

Health decisions are an intimate thing, Woessner says, and he doesn't like an employer getting involved. He suggests Penn State workers schedule their biometric screenings with their own physicians, rather than with a company Penn State hired for that purpose. "The university has a chance to save a modest amount of money, and they think it is OK to throw our liberties and our privacy on the funeral pyre," he says.

Basso calls Woessner's campaign "unfortunate and sad." She says all the information submitted by employees is confidential. And she points out that the program is designed to benefit workers by keeping them healthy and saving them money.

This protest comes amid a change in how employers approach health improvement programs. Most began in the past decade with incentives, but now some are switching to penalties, according to Helen Darling, president of the National Business Group on Health. She says well over 85 percent of employers nationally have health improvement programs and most still focus on incentives.

"But there's a definite shift, and the shift is moving faster," says Darling. "The companies that were the earliest ones providing rewards have moved to something that feels or looks more like a penalty."

Penn State's changes to its employees' health care benefits are scheduled to take effect on Jan. 1.

Copyright 2013 NPR. To see more, visit http://www.npr.org/.

Transcript

DAVID GREENE, HOST:

To save money on health care, many employers are encouraging their workers to adopt better habits, and the Pennsylvania State University is among them. Recently, Penn State went a step further. The school plans to charge employees $100 a month if they refuse to participate in health improvement programs. As NPR's Jeff Brady tells us, some faculty members are protesting.

JEFF BRADY, BYLINE: It's Susan Basso's job to cut Penn State's health care bill. She's vice president for human resources.

SUSAN BASSO: This year, our health care spend is projected to be $217 million, with that increasing probably about 14 percent next year, with no mitigation.

BRADY: Mitigation, in this case, is Penn State's Take Care of Your Health program. The university wants employees to undergo a screening that examines things like blood sugar, weight and waist size. Employees and their spouses or domestic partners also must complete an online wellness profile and agree to undergo a preventive physical exam. Those who refuse will be charged an extra $100 a month. Outside a clinic in State College, Jolene Kost was among the first to show up for the screening.

JOLENE KOST: I'm OK with it if it helps lower my insurance. That would be fine. I'd be all for that.

BRADY: At the same clinic, Tracy O'Rourke is a little more skeptical.

TRACEY O'ROURKE: I'm sort of mixed feelings about it. I sort of think it's an invasion. But, you know, I don't also want to be charged 100 extra dollars a month.

BRADY: Others are protesting the initiative. Matthew Woessner is a political science professor at Penn State's Harrisburg campus.

MATTHEW WOESSNER: The university has a chance to save a modest amount of money, and they think it's OK to throw our liberties and our privacy on the funeral pyre.

BRADY: Woessner says health decisions are an intimate thing, and he doesn't like an employer getting involved. Woessner shows me the online wellness profile he's filled out.

WOESSNER: And it begins with basic information: height, weight. And then it goes through...

BRADY: Well, now, wait a minute. It says there you're 3'8" tall, 50 pounds?

WOESSNER: Yes. I have a plan to try to scuttle this wellness profile.

BRADY: Woessner wrote a letter to his colleagues encouraging them to join his protest and fill out their profiles with nonsense. He also suggests Penn State workers schedule their medical screenings with their own physicians rather than with a company Penn State hired for that purpose.

BASSO: I think it's rather unfortunate and sad, actually.

BRADY: Penn State's Susan Basso says all the information submitted is confidential. And she says, ultimately, the program is designed to benefit workers by keeping them healthy and saving them money. This protest comes amid a change in how employers approach health improvement programs. Most began with incentives, but now they're switching to penalties. Helen Darling is president and CEO of the National Business Group on Health. She says well over 85 percent of employers have health improvement programs.

HELEN DARLING: There's a definite shift, and the shift is moving faster. So, for example, the companies that - well, the earliest ones providing rewards have moved to something that feels and looks more like a penalty.

BRADY: Penn State officials say some employees are complying with the new program. More than 2,700 people already have completed the online part of the new requirements, and more than a quarter of the available screening appointments have been filled. Jeff Brady, NPR News. Transcript provided by NPR, Copyright NPR.