Strategies

Offer exercise classes (e.g., aerobic dance, yoga, Tai Chi, cycling, etc.) and fitness program support in community, senior, fitness, and community wellness centers

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Modify local environments to support physical activity, increase access to new or existing facilities for physical activity, or build new facilities

Place motivational signs on or near stairwells, elevators, and escalators that encourage individuals to use stairs

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones