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

doi:10.4278/ajhp.090805-quan-253

Cited by 12 publications

(13 citation statements)

References 13 publications

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“…Other reviews by Serxner and colleagues 54,55 are cited as references in this paper. Lerner et al found few methodologically strong studies focused on economic outcomes.…”

Section: Discussionmentioning

confidence: 99%

Do Workplace Health Promotion (Wellness) Programs Work?

Goetzel

Henke

Tabrizi

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

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“…Other reviews by Serxner and colleagues 54,55 are cited as references in this paper. Lerner et al found few methodologically strong studies focused on economic outcomes.…”

Section: Discussionmentioning

confidence: 99%

Do Workplace Health Promotion (Wellness) Programs Work?

Goetzel

Henke

Tabrizi

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

Self Cite

313

293

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“…This being said, positive workplace wellness ROI studies have been published related to absenteeism and disease management (Aldana et al, 2005 ; Baicker, Cutler, & Song, 2010 ; Chapman, 2012 ; Pellitier, 2009 ; Serxner, Alberti, & Weinberger, 2012 ). A systematic review and analysis of published workplace health-promotion research indicated that positive clinical and cost-saving outcomes were mostly due to disease management programs (Chapman, 2012 ; Pellitier, 2009 ; Serxner et al, 2012 ). A quasi-experimental study investigating the effectiveness of health and productivity management (HPM) found a cost-saving ROI during years 2 and 3, but with a slighter decrease (Serxner et al, 2012 ).…”

mentioning

confidence: 99%

“…A systematic review and analysis of published workplace health-promotion research indicated that positive clinical and cost-saving outcomes were mostly due to disease management programs (Chapman, 2012 ; Pellitier, 2009 ; Serxner et al, 2012 ). A quasi-experimental study investigating the effectiveness of health and productivity management (HPM) found a cost-saving ROI during years 2 and 3, but with a slighter decrease (Serxner et al, 2012 ). The HPM consisted of HRAs, screenings, and disease management for those with high risk factors.…”

mentioning

confidence: 99%

Do work relationships matter? Characteristics of workplace interactions that enhance or detract from employee perceptions of well-being and health behaviors

Mastroianni¹,

Storberg-Walker

2014

Health Psychology and Behavioral Medicine

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This qualitative case study adopted the position that health and health behaviors are complex social constructs influenced by multiple factors. Framed by the social ecological model, the study explored how work interactions enhanced or detracted from the perceptions of well-being and health behaviors. Despite the fact that previous studies indicated that the social workplace environment contributed to employee health, there was little information regarding the characteristics. Specifically, little was known about how employees perceived the connections between workplace interactions and health, or how social interactions enhanced or detracted from well-being and health behaviors. The participants included 19 volunteers recruited from four companies, who shared their experiences of workplace interactions through interviews and journaling assignments. The findings indicated that feelings of well-being were enhanced by work interactions, which were trusting, collaborative, and positive, as well as when participants felt valued and respected. The study also found that interactions detracted from well-being and health behaviors when interactions lacked the aforementioned characteristics, and also included lack of justice and empathy. The enhancing and detracting relationships generated physical symptoms, and influenced sleeping and eating patterns, socializing, exercise, personal relations, careers, and energy. Surprisingly, the study found that regardless of how broadly participants defined health, when they were asked to rate their health, participants uniformly rated theirs on physical attributes alone. The exclusive consideration of physical attributes suggests that participants may have unconsciously adopted the typical western medical view of health – an individually determined and physiologic characteristic. Despite research suggesting health is more than biology, and despite defining health broadly, participants uniformly adopted this traditional view. The study also offers human resource development professionals with evidence supporting interventions aimed at minimizing workplace incivility. Interventions designed to improve employee engagement could minimize financial and human costs of negative interactions. The bottom line is that workplaces should be physically, emotionally, and psychologically safe for well-being and healthy behaviors to flourish.

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“…Payers, from the US Government to third-party private insurers and employers, are looking to this kind of big data analysis to inform coverage, decisions, regulatory actions, and policymaking decisions. [1][2][3][4][5] Exploration of large datasets requires access to specialized expertise, programmers, and computing unavailable to clinicians in daily practice. Physician professional organizations, on behalf of their members, have the resources to engage in analysis of these data and advocate for value and quality.…”

mentioning

confidence: 99%

Neurologist ambulatory care, health care utilization, and costs in a large commercial dataset

et al. 2016

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Objective: To determine the value of neurologist ambulatory care in chronic neurologic diseases in a large administrative claims dataset detailing costs, adverse events, and health care utilization. Methods:The Optum proprietary claims dataset (2010)(2011)(2012) was examined to describe direct health care costs, as well as specific outcome metrics for a large population of persons with chronic neurologic illnesses. In phase I of the study, we detail neurologist involvement and differences in annualized allowed third-party payments within episode treatment groups (ETGs) for 10 neurologic illnesses. For phase II, we examined health care utilization for ETGs of epilepsy, Parkinson disease (PD), stroke, and multiple sclerosis (MS) with and without neurologist involvement. Reported outcomes were unadjusted differences and odds ratios between treatment groups.Results: For phase I, a total of 1,913,605 ETGs for 10 neurologic conditions were identified, 30.1% meeting criteria for neurologist involvement. All conditions had higher direct costs when neurologists were involved with care, ranging from a 25% increase for Alzheimer dementia to 100% more for MS care. In phase II, fractures, infections, emergent care, and inpatient admission were less with neurologist ambulatory care, while neurologist care was associated with greater utilization of disease-specific treatments (immunotherapies in MS anticoagulation in atrial fibrillation-associated stroke, deep brain stimulation and dopaminergic therapies in PD). Conclusion:Neurologist involvement with care is associated with greater unadjusted allowed payments, but fewer adverse events and less acute care utilization. The effect of neurologist care on health care costs and utilization outcomes in persons with chronic neurologic illness is not well-characterized. Aggregation of health care information in large administrative claims datasets presents an opportunity to assess the effect of specialist physicians on downstream usage of health resources related to the diseases they treat. Payers, from the US Government to third-party private insurers and employers, are looking to this kind of big data analysis to inform coverage, decisions, regulatory actions, and policymaking decisions. 1-5Exploration of large datasets requires access to specialized expertise, programmers, and computing unavailable to clinicians in daily practice. Physician professional organizations, on behalf of their members, have the resources to engage in analysis of these data and advocate for value and quality.6 Therefore, the American Academy of Neurology (AAN) engaged Optum, Inc. (Philadelphia, PA), a health care consulting firm, for a guided exploratory analysis of their proprietary administrative claims dataset to assess the value of neurologist care.

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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

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

Cited by 12 publications

References 13 publications

Do Workplace Health Promotion (Wellness) Programs Work?

Do Workplace Health Promotion (Wellness) Programs Work?

Do work relationships matter? Characteristics of workplace interactions that enhance or detract from employee perceptions of well-being and health behaviors

Neurologist ambulatory care, health care utilization, and costs in a large commercial dataset

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