The majority of the 86,000 employees in the University of Texas System do not get an annual medical exam, so the system is developing a program that includes incentives and disincentives to motivate healthy behaviors. Methodist Healthcare System puts money into flexible spending accounts for employees who get a health screening and, starting in 2012, will place workers who did not in the lowest-tier health plan. Participation in screenings has jumped from 50% to %80.

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