Amazon.com Widgets

Navigate / search

If you're an enthusiast of digital wellness, mHealth, and/or self-tracking then you've found home. Welcome. Please stay in touch by clicking here.

The Role of Medical Fitness Centers in the Era of Health Care Reform

In this new era of health care reform and the Patient Protection and Affordable Care Act (PPACA), medical fitness centers must evolve their approach to keep up with the transformational change currently taking place. Hospitals therefore have an extraordinary opportunity to position themselves as facilitators of prevention rather than operating in the previous operational paradigm of disease-care. In these changing times it is clear that medical fitness centers will play a much broader role in the operating models of medical organizations. Americans are coming around to the notion that it is necessary that they actively participate in their own care. Clinicians are realizing that their role is changing as well – from one of ‘expert’ to one of ‘facilitator’.

Health care reform is requiring institutions to shift patient-care models to an upstream approach. In the paradigm preceding the PPACA, medical centers waited downstream for illness to progress to the point that high-cost acute care was necessary. This was supported by reimbursement programs that incentivized this type of methodology. However, as the PPACA gets rolled out and employer-sponsored health benefit plans become more prevalent prevention and self-management will rise to the top as key initiatives for any progressive medical organization[1]. What is the primary conduit for preventive medical care and patient self-management? Medical fitness centers. Care will soon start with the individual instead of the doctor. It will be patient-led instead of provider-led, and it will start in the home or the fitness center instead of the doctor’s office.

Another opportunity for medical fitness centers is an increased effort from coverage payers and providers to influence patient behavior (ex. WellPoint’s Health. Join In. and WellPower initiatives). Through incentives and education payers and employers are working together more than ever before to encourage and influence employees to increase their activity and adopt healthy habits[2]. A reasonable measure of a healthy habit is the consistent use of a fitness facility and this measure – club usage data – is already being used by some organizations as a success metric. The PPACA has also widened the available spectrum of incentives employers can use to reward healthy behavior, such as more attractive insurance premiums, lower deductibles, and other desirable rewards.[3]

Summary: It is clear that the growing trend of patient self-management supported by the PPACA will continue to have a positive impact on medical fitness centers as shared decision-making becomes the norm in health care. Furthermore, hospitals are being pressured to move away from economic models that favor volume and expensive services to models that offer patient value and positive outcomes. This creates an unprecedented opportunity for medical fitness centers to position their offerings as establishing the patient relationship, the relationship that historically was created between the patient and physician at a patient’s time of need. Through better positioning within the wellness continuum, and new economic incentives afforded by health care reform, medical fitness centers not only now have a seat at the table regarding patient care, they will likely play a much bigger role in the relationship a hospital has with their respective patients.



[2] Oppenheimer, Karen Pak, and Carol Medlin. “Governors’ Healthy America Initiative.” (2006)

[3] Harrison, Krista, and Anderson, Gerard, “Employee Wellness Incentives.” (2010)

Emphasizing Quality of Life over Longevity

Most individuals are aware of what steps they need to take in order to improve their health. Recent research conducted out of the University of Michigan (Rebranding Exercise: Closing the Gap Between Values and Behavior) finds that messages that encourage individuals to focus on immediate quality of life improvements tend to perform better promoting healthy behavior change than messages that encourage individuals to focus on making changes that contribute to their overall longevity. The thought is that this holds true because, in general, individuals tend to have difficulty making changes that have delayed or abstract rewards. It is easier for us to make changes that produce more timely rewards.

Physical exercise programs typically have both delayed and immediate benefits. Some of the long-term benefits include a decreased risk of serious disease and longer life. Some of the immediate benefits include increased feeling of well-being, decreased stress and improved sleep.

This study authored by Michelle Segar, Jacquelynne Eccles and Caroline Richardson suggests that marketers trying to get individuals to exercise more regularly might have better luck if they emphasize exercise’s ability to decrease stress and elevate mood. Immediate, concrete changes like reduced stress and increased mood are easy for most individuals to visualize, focus on and work towards.

The study’s utility transcends simply being applicable to exercise promotion. All positive lifestyle changes are more likely to occur if the focus is on noticeable short-term benefits rather than abstract, long-term benefits. An example would be a campaign promoting healthy eating habits. The campaign is more likely to be successful if the focus is on how healthy diet promotes increased energy than a focus on the long-term benefits healthy eating has on cardiovascular health. Human beings are not always logical, many of us suffer from the folly of instant gratification.

Organizations seeking to design more effective exercise programs should first spend some time evaluating the probable effectiveness of their messaging. Organizations that have been focusing on messaging that touts the long-term health benefits of exercise – instead of the immediate benefits – may want to consider reformulating the way the value of exercise is communicated to their employees. The University of Michigan study suggests that the more timely and relevant the exercise-related reward is perceived, the more likely it is that members of the target population will make positive changes.

Commenting on her study Michelle Segar suggests that while people claim to be motivated by the possibility of increased long-term health, the appeal of long-term health gains is rarely strong enough to cause lasting behavioral change. Wellness promoters should take note that some benefits of exercise many not be compelling enough to be an effective motivator for healthy behavior change amongst a wide audience.

These findings are not just for marketers and health promoters. Individuals looking to adopt new positive behaviors should spend some time asking themselves about what really motivates them, and perhaps break large health goals into smaller milestones that have appealing, short-term benefits. Effective behavior change is possible; it just has to stem from the right kind of tailored personal motivation. As more research is done on the effectiveness of different forms of motivation and motivational messages, individuals and groups will be better able to promote effective behavioral change.

Fitbug Files Legal Complaint Against Fitbit

In a recent complaint filed against Fitbit, Fitbug claims that Fitbit uses not only a similarly sounding name for their company, but also similar brand imagery and icons. They also claim nutrition-related advice available from Fitbit is almost identical to that offered by Fitbug. The legal action is based on unfair competition as well as trademark infringement and unfair business practices.

Fitbug claims the actions and products distributed by Fitbit have created massive confusion among customers, who tend to believe that the products and services of Fitbit are directly connected to Fitbug. Fitbug believes that market confusion is continuing to increase and has grown substantially over the course of the last year. One of facts Fitbug points to is their call center operators have received an increasing amount of inquires from customers concerned about their Fitbit devices. Customers, business partners and the media have started to associate Fitbug with Fitbit – not only do they have similar names, but both companies have very similar trademarks and services. The assertion from Fitbug is this disregard and disrespect of product differentiation on the part of Fitbit has put Fitbug at a disadvantage.

Fitbug has been in business for over 8 years helping people adopt a healthier lifestyle by offering various wellness innovations. Throughout the years Fitbug has managed to make a name for itself in the wellness industry, more prevalent in Europe but a modest and developing presence in the United States as well.

The name “Fitbug” covers not only their online-based services, but also the software package used by their member base to keep track of progress. Fitbug’s lawsuit alleges Fitbit entered the market four years after Fitbug and started distributing similar devices as well as developing similar online services that parallel the offerings of Fitbug. Fitbug believes that users will continue to associate the two companies if Fitbit does not change the way they currently market their brand and their products.

To see some of the similarities between Fitbug vs. Fitbit visit: http://media.fitbug.com/tm.pdf. What do you think? Leave your thoughts in the comment section below.

How Can Data Improve Your Personal Life?

Data analytics not only benefit large companies and small enterprises – data can improve your personal life as well. For instance (using a common problem to highlight the power of data), data can help you shed excess pounds and reach your desired weight in a fast, safe and efficient manner without having to spending hours in the gym. You can use analytic and tracking tools to help you keep track of your weight, calculate the number of calories you have burnt, and even design a graphical representation of key data that will offer you deeper insight into how certain choices affect your progress. People are built differently and therefore have different metabolisms – each person’s weight loss formula is unique and data helps shed light on individual attributes.

Data can also improve one’s overall well-being: it allows you to track your mental state and your mood, how you feel every day, how you spend your time, etc. For example, if you use a scoring system… say from 1 to 10… to describe your well-being on a daily basis, you’ll likely be able to see trends in just a few weeks’ time if you are tracking other areas of your life as well. This will help you to understand yourself better and help you make better choices too. At the end of each day, you can decide whether it was a successful day and/or you managed to accomplish your goals or not – slowly but surely, you will notice how your decisions affect your mood and other personal metrics.

You can also make all sorts of correlations in order to pinpoint the activities that make you feel good and the activities that make you feel stressed. For instance, maybe working with deadlines or spending too much time working on your e-mail is more stressful than you thought. Identifying primary stressors will allow you to focus on the things that affect you the most.

You may also identify activities that have a larger affect due to their secondary affects. For instance, having to commute to work on a daily basis can have an impact on your mood and/or stress level, as well as have an affect on contributing to other unhealthy behaviors (ex. eating more junk food because you do not have the time to cook, or spending less time with friends, etc.). In other words, data analytics can help you identify unforeseen stress factors in your day-to-day life and remove them. At the end of the day, you can draw a conclusion based on the data you’ve gathered (ex. you’re watching too much television, working on your e-mails is a huge stress factor, a healthy social life plays a pivotal role in reducing your stress, etc.)

See how Quantified Selfer Stefan Heeke used analytics to improve his personal life…

Summary: A single choice can trigger a chain reaction which can have either a positive or a negative impact on your life. With data on your side you can get better visibility into how your choices affect the quality of your life. Through the insights gleaned from self-tracking and personal data you can eliminate the tasks that affect you in a negative way – the clutter and the things that simply don’t seem to work – and focus instead on those that benefit you, both physically and mentally.

Live Life Love | Volume Twenty-Two

Hello Everyone,

It’s amazing and a bit scary how fast time flies by. We just celebrated my daughter’s first birthday last weekend but it seems like just yesterday that I was telling you about her birth. Honoring that time is precious, especially yours, I will keep this quarter’s newsletter brief. I’d just like to share one quick lesson my daughter has taught me over the past year that has been tremendously helpful in my life. She has incredible resilience. Unlike my experience with other young children, her ability to shake things off is incredible… it’s as if she knows that any extended form of discord or tantrum would simply take time away from her preferred states of curiosity and elation. Impressed by this skill I’ve recently implemented reducing the amount of time I let unpleasant events bother me. Since I do not possess this skill innately in the way my daughter appears to it has taken me a bit of practice, but none-the-less I can attest putting it into practice has freed up a lot more time to enjoy better things. In a reciprocal way it has even changed my personal vernacular. Before when something would go wrong I would normally burst out an expletive, or say, “this sucks!” Now I often simply emulate my daughter and say, “uh oh!” when an unwanted inconvenience arises. Hard to stay upset for very long when you say ‘uh oh’ in a silly voice. It’s as if the words I attach to an experience actually help shape the reality of that experience.

This quarter’s health and wellness interview is with Matthew Heineman, the director of the documentary “Escape Fire: The Fight to Rescue American Healthcare,” a film that examines the deficits and challenges in today’s healthcare system. Escape Fire has recently been airing on CNN and has amassed an impressive amount of critical acclaim. My interview with Matt Heineman about healthcare in America is available here.

This quarter’s entrepreneurial interview is with the founder of Perkville, Sunil Saha. Perkville is a service which allows businesses to offer cardless customer loyalty and reward programs. Sunil has previously held leadership roles at LinkedIn, Yahoo! Small Business and Neoforma. My interview with Sunil Saha about customer loyalty programs is available here.

Regarding life experience this quarter there are a few things to choose from, but the one I’m most grateful for aside from being a part of my daughter’s first birthday is getting the chance to speak twice at this year’s International Health, Racquet, and Sportsclub Association Convention (IHRSA) in Las Vegas.

IHRSA | Las Vegas, NV | 2013

Both speaking opportunities were centered on my growing expertise in the use of technology with regards to activity tracking and behavior change. It was a very memorable and rewarding experience. On one panel I sat with four heavy hitters from my industry including Dave Mortensen the co-founder of Anytime Fitness and Russell Benaroya, CEO of EveryMove. It was humbling to have a seat at the table with such esteemed colleagues, but also extremely motivating to push harder and continue to grow.

At IHRSA I was also able to attend the Eighth Annual BASH for Augie’s Quest which is a health club industry event to help find an end to Lou Gehrig’s disease. This quarter’s contribution was a modest donation to the Muscular Dystrophy Association in Augie’s name as well as a modest donation in honor of Alex K’s Escape from Alcatraz race supporting the Multiple Myeloma Research Foundation.

Wishing you continued success throughout 2013.

Warm regards,
Michael