Systems and methods for exchanging health care credits are described. Health care credits are transferable units of value representing good health, an improvement in health, or maintenance of health by an individual. The health care credits may be bought, sold, exchanged for goods and services, gifted or otherwise conveyed from one owner to another. Also disclosed are exchanges and markets for buying, selling, and trading health care credits, as well as derivative securities. The derivative securities or products are based on either the flow of health care credits through the system, or on health care information, which may have been generated to implement health care credit awards.