Expansion of employee incentives to improve health continues Although engaging employees to better manage their health is an ongoing challenge, companies have expanded their use of i nancial rewards to employees and their spouses to encourage participation in health management programs. These programs have become signii cant elements in the HR toolbox. In fact, more than two-thirds of respondents offer incentives today. This is hardly surprising since competitive pressure and the pace of change have increased the demands on everyone at all levels of any company. Companies have also been more willing to add penalties to their arsenal (used by.