|By Gregory Phillips, The Fayetteville Observer, N.C.|
|McClatchy-Tribune Information Services|
Starting next year, the county will require employees to meet health-improvement targets to earn a discounted rate on their insurance. The county's insurer recommended the move as a way to keep costs down, and leaders are backing it.
Employees were notified
"We're trying to do what we can do to contain costs," County Manager
The county spent
For several years, employees have received a
"What we're looking for a year from now is that there's an improvement in those," Martin said. "If you're already healthy, then fine, but just maintain that."
Participating employees must meet established standards in three of the four areas -- such as a 40-inch waist for men, 35 for women, blood pressure of 140/90 or lower -- or show 10 percent improvement to qualify for the discount. Employees who do not participate will not get the discount.
Some are crying foul, calling the new requirements intrusive and unfair. Some worry the health information will be a factor in promotions. Employees who were interviewed for this story did not want to have their names published for fear of reprisals.
A growing number of local governments are using similar strategies.
"We've had lots of complaints," said
The county took baseline measurements last year, and employees will be screened again in April. Wyant said county leaders have not decided what the penalty will be for employees who fail to meet their improvement targets.
"It could be the county may choose not to do anything," she said.
"To keep your privacy, you have to pay," she said. "I don't know about the legality of that."
Peel said counties cannot guarantee the health information they collect is safe from hackers.
"They really can't do state-of-the-art security," she said. "Health information is very valuable."
A trio of county workers spend one lunch break each week walking the mile across downtown to the employee health services building for a weekly seminar in the county's eight-week Eat Smart, Move More, Weigh Less series.
"I don't have a problem with it at all," said the group's
Martin acknowledged there has been "a little pushback" from some employees.
"As unpopular and distasteful as it is, that's what we need to do," he said. "Otherwise, the cost of employee health care is going to go so high that we're going to end up in a situation where employees are going to have to pick up a greater and greater share of the cost of their individual health insurance."