• Media type: E-Article
  • Title: Medical Cost Savings for Participants and Nonparticipants in Health Risk Assessments, Lifestyle Management, Disease Management, Depression Management, and Nurseline in a Large Financial Services Corporation
  • Contributor: Serxner, Seth; Alberti, Angela; Weinberger, Sarah
  • Published: SAGE Publications, 2012
  • Published in: American Journal of Health Promotion
  • Extent: 245-252
  • Language: English
  • DOI: 10.4278/ajhp.090805-quan-253
  • ISSN: 0890-1171; 2168-6602
  • Keywords: Public Health, Environmental and Occupational Health ; Health (social science)
  • Abstract: <jats:sec><jats:title>Purpose.</jats:title><jats:p> To compare changes in medical costs between participants and nonparticipants in five different health and productivity management (HPM) programs. </jats:p></jats:sec><jats:sec><jats:title>Design.</jats:title><jats:p> Quasi-experimental pre/post intervention study. </jats:p></jats:sec><jats:sec><jats:title>Setting.</jats:title><jats:p> A large financial services corporation. </jats:p></jats:sec><jats:sec><jats:title>Subjects.</jats:title><jats:p> A cohort population of employees enrolled in medical plans (n = 49,793). </jats:p></jats:sec><jats:sec><jats:title>Intervention.</jats:title><jats:p> A comprehensive HPM program, which addressed health risks, acute and chronic conditions, and psychosocial disorders from 2005 to 2007. Incentives were used to encourage health risk assessment participation in years 2 and 3. </jats:p></jats:sec><jats:sec><jats:title>Measures.</jats:title><jats:p> Program participation and medical claims data were collected for members at the end of each program year to assess the change in total costs from the baseline period. </jats:p></jats:sec><jats:sec><jats:title>Analysis.</jats:title><jats:p> Multivariate analyses for participation categories were conducted comparing baseline versus program year cost differences, controlling for demographics. </jats:p></jats:sec><jats:sec><jats:title>Results.</jats:title><jats:p> All participation categories yielded a lower cost increase compared to nonparticipation and a positive return on investment (ROI) for years 2 and 3, resulting in a 2.45:1 ROI for the combined program years. </jats:p></jats:sec><jats:sec><jats:title>Conclusion.</jats:title><jats:p> Medical cost savings exceeded program costs in a wide variety of health and productivity management programs by the second year. </jats:p></jats:sec>
  • Description: <jats:sec><jats:title>Purpose.</jats:title><jats:p> To compare changes in medical costs between participants and nonparticipants in five different health and productivity management (HPM) programs. </jats:p></jats:sec><jats:sec><jats:title>Design.</jats:title><jats:p> Quasi-experimental pre/post intervention study. </jats:p></jats:sec><jats:sec><jats:title>Setting.</jats:title><jats:p> A large financial services corporation. </jats:p></jats:sec><jats:sec><jats:title>Subjects.</jats:title><jats:p> A cohort population of employees enrolled in medical plans (n = 49,793). </jats:p></jats:sec><jats:sec><jats:title>Intervention.</jats:title><jats:p> A comprehensive HPM program, which addressed health risks, acute and chronic conditions, and psychosocial disorders from 2005 to 2007. Incentives were used to encourage health risk assessment participation in years 2 and 3. </jats:p></jats:sec><jats:sec><jats:title>Measures.</jats:title><jats:p> Program participation and medical claims data were collected for members at the end of each program year to assess the change in total costs from the baseline period. </jats:p></jats:sec><jats:sec><jats:title>Analysis.</jats:title><jats:p> Multivariate analyses for participation categories were conducted comparing baseline versus program year cost differences, controlling for demographics. </jats:p></jats:sec><jats:sec><jats:title>Results.</jats:title><jats:p> All participation categories yielded a lower cost increase compared to nonparticipation and a positive return on investment (ROI) for years 2 and 3, resulting in a 2.45:1 ROI for the combined program years. </jats:p></jats:sec><jats:sec><jats:title>Conclusion.</jats:title><jats:p> Medical cost savings exceeded program costs in a wide variety of health and productivity management programs by the second year. </jats:p></jats:sec>
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