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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.

Serxner, Seth; Alberti, Angela; Weinberger, Sarah.
Am J Health Promot ; 26(4): 245-52, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22375576

PURPOSE:

To compare changes in medical costs between participants and nonparticipants in five different health and productivity management (HPM) programs.

DESIGN:

Quasi-experimental pre/post intervention study.SETTING: A large financial services corporation.

SUBJECTS:

A cohort population of employees enrolled in medical plans (n  =  49,723) [corrected].INTERVENTION: 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.

MEASURES:

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. Analysis . Multivariate analyses for participation categories were conducted comparing baseline versus program year cost differences, controlling for demographics.

RESULTS:

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.

CONCLUSION:

Medical cost savings exceeded program costs in a wide variety of health and productivity management programs by the second year.