Strategies

What Works for Health includes evidence-informed strategies to create communities where everyone can thrive.

12 Strategies matching employee
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Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Consumer-directed health plans

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
Evidence Rating:
Mixed Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

Financial rewards for employee healthy behavior

Offer payments, credits toward health insurance premiums, or other financial rewards to encourage employees to lose weight, eat more healthily, quit smoking, engage in physical activity, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise

Long-term care employee compensation

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings
Evidence Rating:
Expert Opinion

Community Conditions

  • Clinical care

Societal Rules

  • Budgets

Mental health benefits legislation

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Laws and policies

Multi-component obesity prevention interventions

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Multi-component workplace supports for active commuting

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Point-of-decision prompts for physical activity

Place motivational signs on or near stairwells, elevators, and escalators that encourage individuals to use stairs
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Value-based insurance design

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

Value-based purchasing (VBP)

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
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices
  • Budgets