The Impact of the Highmark Employee Wellness Programs on 4-Year Healthcare Costs

Naydeck, Barbara L.; Pearson, Janine A.; Ozminkowski, Ronald J.; Day, Brian T.; Goetzel, Ron Z.

doi:10.1097/jom.0b013e3181617855

Cited by 172 publications

(107 citation statements)

References 16 publications

(12 reference statements)

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…85 Average reduc-tions in sick leave absenteeism, healthcare costs, and workers' compensation and disability management claims were 28%, 26%, and 30%, respectively. 86,87 Productivity outcomes are harder to measure in today's postmanufacturing economy, and many employers do not have the resources or expertise to conduct such assessment. 88,89 Most productivity estimates are based on questionnaires that often yield varied estimates of on-the-job productivity gains or losses even when administered in the same setting.…”

Section: Workitesmentioning

confidence: 99%

Value of Primordial and Primary Prevention for Cardiovascular Disease

Weintraub¹,

Daniels²,

Burke³

et al. 2011

Circulation

436

260

View full text Add to dashboard Cite

Abstract-The process of atherosclerosis may begin in youth and continue for decades, leading to both nonfatal and fatal cardiovascular events, including myocardial infarction, stroke, and sudden death. With primordial and primary prevention, cardiovascular disease is largely preventable. Clinical trial evidence has shown convincingly that pharmacological treatment of risk factors can prevent events. The data are less definitive but also highly suggestive that appropriate public policy and lifestyle interventions aimed at eliminating tobacco use, limiting salt consumption, encouraging physical exercise, and improving diet can prevent events. There has been concern about whether efforts aimed at primordial and primary prevention provide value (ie, whether such interventions are worth what we pay for them). Although questions about the value of therapeutics for acute disease may be addressed by cost-effectiveness analysis, the long time frames involved in evaluating preventive interventions make cost-effectiveness analysis difficult and necessarily flawed. Nonetheless, cost-effectiveness analyses reviewed in this policy statement largely suggest that public policy, community efforts, and pharmacological intervention are all likely to be cost-effective and often cost saving compared with common benchmarks. The high direct medical care and indirect costs of cardiovascular disease-approaching $450 billion a year in 2010 and projected to rise to over $1 trillion a year by 2030 -make this a critical medical and societal issue. Prevention of cardiovascular disease will also provide great value in developing a healthier, more productive society. (Circulation. 2011;124:967-990.)

show abstract

Section: Workitesmentioning

confidence: 99%

Value of Primordial and Primary Prevention for Cardiovascular Disease

Weintraub¹,

Daniels²,

Burke³

et al. 2011

Circulation

436

260

View full text Add to dashboard Cite

show abstract

“…В американских исследованиях последних лет продемонстрировано, что программы профилактики на рабочем месте целесообразны, так как затраты на их реализацию полностью окупаются за счет сни-жения временной нетрудоспособности [6,12]. В оте-чественных исследованиях показана клинико-эконо-мическая целесообразность комплекса ресурсосбере-гающих технологий профилактики ССЗ на рабочем месте в организованном коллективе технического НИИ (г. Жуковский, Московская область) в течение 12 месяцев [4,13].…”

Section: таблицаunclassified

Clinical and Economic Efficacy of Primary Prediction Organisational Model for Cardiovascular Diseases in Railway System Workers

Пырикова¹,

Осипова²,

Концевая³

et al. 2014

Russ J Cardiol

View full text Add to dashboard Cite

Цель. Оценить клинико-экономическую эффективность организационной модели первичной профилактики ССЗ в коллективе мужчин железнодорож-ного транспорта. Материал и методы. Организационная модель первичной профилактики ССЗ (групповое профилактическое консультирование на рабочем месте и индивидуальное углубленное профилактическое консультирование в усло-виях поликлиники и реабилитационного центра локомотивного депо) реализо-вана в 1-й группе работников локомотивных бригад в 2010-2012гг; 2-я группа находилась под ежегодным медицинским наблюдением (диспансеризация и медицинская комиссия). Проводился мониторинг факторов риска и анализ заболеваемости с ВУТ по ССЗ; расчет прямых и непрямых затрат, ассоцииро-ванных с ССЗ; анализ затраты-эффективность. Результаты. На фоне реализации организационной модели первичной профилак-тики ССЗ в 1-й группе снизилась ВУТ по ССЗ на 32,8% случаев и на 34,6% дней, по СД -на 55,6% случаев; случаев ИБС не зарегистрировано; на 44,1% снизились общие затраты. За три года наблюдения во 2-й группе возросло число случаев ВУТ по ССЗ на 19,2%, дней -на 8,7%, вдвое увеличилась ВУТ по ИБС и по СД; произо-шел рост общих затрат на 24,3%. В 1-й группе в 1,6 раза снизилась частота курения, затраты на снижение этого пристрастия на 1% составили 10304,7 руб.; абдоми-нальное ожирение снизилось в 1,3 раза, затраты на достижение целевой окружно-сти талии у 1% составили 20310,7 руб.; гиперхолестеринемия встречалась в 1,8 раза реже, затраты на устранение этого фактора у 1% составили 8493,6 руб. на 100 работающих. Во 2-й группе частота курения снизилась на 4,7%, затраты на устра-нение данной привычки у 1% мужчин составили 107607,4 руб. на 100 работающих, что в 10,4 раза больше, чем в 1-й группе; частота абдоминального ожирения возро-сла на 5,5%, гиперхолестеринемии -на 4,7%. Заключение. Реализация организационной модели первичной профилактики ССЗ в коллективе работников железнодорожного транспорта в течение трех лет показала клинико-экономическую эффективность в отношении уменьше-ния частоты основных факторов риска, снижении ВУТ и общих затрат, ассоци-ированных с ССЗ. Российский кардиологический журнал 2014, 6 (110): 12-18Ключевые слова: клинико-экономическая эффективность, первичная про-филактика, работники железнодорожного транспорта. Aim. To study clinical and economic efficacy of the organisational model for primary prevention of CVD in men working at railway system. Material and methods. Organisational model for primary prevention of CVD (the group preventive consulting at the workplace and individualized profound prophylactic consulting in outpatient environment of locomotory depot rehabilitation centre) has been performed for the first group of locomotory teams in 2010-2012 y.; second group was under annual medical observation (screening and medical comission workout). The monitoring of risk factors and analysis of morbidity causing temporary disability (TD) by CVD; direct and indirect expenses calculation; expense-efficacy estimation.Results. On the background of organisational model for primary CVD preve...

show abstract

“…53 Research has suggested the idea of the wellness "champion", or a local leader that promotes engagement with the wellness program among coworkers. 83 By engaging middle-management or supervisors as champions or training them in the importance of health promotion, programs may achieve better reach among employees…”

Section: Engagement Of Leadership At All Levels To Support Implementamentioning

confidence: 99%

Towards Effective Design and Evaluation of Workplace Wellness Programs

Batorsky¹

2017

View full text Add to dashboard Cite

R® is a registered trademark Limited Print and Electronic Distribution RightsThis document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions.html.The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org iii AbstractIn an effort to reduce chronic disease burden on the workforce, both public and private initiatives have promoted the rapid expansion of workplace wellness programs to encourage healthy behavior. Despite enthusiasm about these programs, evidence for their effectiveness remains mixed. The major reasons postulated for these mixed results include low participation rates, heterogeneity in program design and non-existent or poorly designed evaluations. In this dissertation, I attempted to address the gaps in the research on program components, their interactions and provide a method for evidencebased evaluation.The first chapter focuses on incentives, which are often prescribed by guidance literature to increase participation. I examined the relationship of high-value and penalty-type incentives to participation rates in a nationwide sample of employers. Results suggested that increasing the value of an incentive may not yield much in terms of participation. Penalty-type incentives were associated with higher participation, but would require significant employee buy-in to implement.The second chapter examines the relationship between program design and employee engagement. Much of the guidance literature recommends adding more components to achieve higher outcomes. However, based on analysis of data from employers and employees, it appears that there are interactions between program components and employee engagement. A program with an average number of services available may be better served by increasing the number of opportunities for employees to participate rather than increasing the number of services.The final chapter synthesizes evidence from the other chapters, guidance from the literature and interviews with wellness program stakeholders in order to provide an evidence base for an interactive evaluation tool. This tool allows small-size employers or employers at the early stages of program implementation to in...

show abstract

The Impact of the Highmark Employee Wellness Programs on 4-Year Healthcare Costs

Abstract: Using sophisticated methodology, this study suggests that a comprehensive health promotion program can lower the rate of health care cost increases and produce a positive ROI.

Cited by 172 publications

References 16 publications

Value of Primordial and Primary Prevention for Cardiovascular Disease

Value of Primordial and Primary Prevention for Cardiovascular Disease

Clinical and Economic Efficacy of Primary Prediction Organisational Model for Cardiovascular Diseases in Railway System Workers

Towards Effective Design and Evaluation of Workplace Wellness Programs

Contact Info

Product

Resources

About