Ochsner Health System is a non-profit multi-specialty healthcare system comprised of eight hospitals and 38 clinics located throughout Louisiana. Since 2003, Ochsner had been monitoring its rising healthcare costs and the health of its workforce. The organization had quickly grown to 10,000 employees after several new acquisitions post-Hurricane Katrina. As Ochsner expanded, it became apparent that they needed a more integrated and accessible wellness program to replace the home-grown manual program. Most importantly, with so many entities under their umbrella, Ochsner sought to improve overall employee health and reduce healthcare costs company-wide. This was a major strategic initiative since 8,259 of Ochsner’s employees are part of its ASO (self-insured) group. Ochsner provides a generous premium subsidy to all levels of coverage, employee up to family coverage. As such, engaging employees in taking accountability for their own health in partnership with the company is a top priority. The magic was aligning the medical plan premiums in favor of those who participated in the wellness initiative.