The impact of the Highmark employee wellness programs on 4-year healthcare costs

The impact of the Highmark employee wellness programs on 4-year healthcare costs
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DOI:
10.1097/jom.0b013e3181617855
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发表时间:
2008-02-01
影响因子:
3.2
通讯作者:
Goetzel, Ron Z.
Goetzel, Ron Z.
中科院分区:
医学4区
文献类型:
--
作者:
Naydeck, Barbara L.;Pearson, Janine A.;Goetzel, Ron Z.

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目的:确定Highmark Inc.的投资回报率(ROI)。的员工健康计划。研究方法:增长曲线分析比较了2001年至2005年健康计划参与者与风险匹配的非参与者的医疗索赔。这一差额被用来确定节省额。投资回报率是通过从节省的资金中减去项目成本来确定的,在敏感性分析中采用了替代贴现率。结果:多变量模型估计参与者每人每年的医疗保健费用为176美元。住院费用减少了182美元。与808,403美元的计划费用相比,四年节省了1,335,524美元,每花一美元在计划上,投资回报率为1.65美元。结论:使用先进的方法,这项研究表明,一个全面的健康促进计划可以降低医疗保健成本的增长率,并产生积极的投资回报率。
Objective: To determine the return on investment (ROI) of Highmark Inc.'s employee wellness programs. Methods: Growth curve analyses compared medical claims for participants of wellness programs versus risk-matched nonparticipants for years 2001 to 2005. The difference was used to define savings. ROI was determined by subtracting program costs from savings and alternative discount rates were applied in a sensitivity analysis. Results: Multivariate models estimated health care expenses per person per year as $176 lower for participants. Inpatient expenses were lower by $182. Four-year savings of $1,335,524 compared with program expenses of $808,403 yielded an ROI of $1.65 for every dollar spent on the program. Conclusions: 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.