According to its eighth annual Health and Productivity Survey released in April 2014, which focused on health care challenges, wellness programs and program design, incentives, global wellness, and health and productivity, 78% of organizations with a wellness program said that they used some sort of incentive to drive participation. The most popular type of incentive was participation-based (64%). Fourteen percent (14%) of survey participants were using an outcomes-based incentive. Finally, some survey participants use more than one type of incentive. For example, 22% use a combination of criteria in order to receive the incentive.