The association between medical costs and participation in the vitality health promotion program among 948,974 members of a South African health insurance company

American Journal of Health Promotion

Volumn 24, Issue 3, 2010, Pages 199-204

  Patel, Deepak N ^a,b   Lambert, Estelle V ^a   Da Silva, Roseanne ^c   Greyling, Mike ^c   Nossel, Craig ^b   Noach, Adam ^b   Derman, Wayne ^a   Gaziano, Thomas ^d  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

^b Discovery Health   (South Africa)

^c UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Analytic; Chronic disease; Descriptive; Fitness physical activity; Health focus: Health risk appraisal; Health insurance; Health risk appraisal; Hospital costs; Incentives; Manuscript format: Research; Nutrition; Outcome measure: Financial economic; Prevention research; Research purpose: Modeling relationship testing; Setting: Private national health insurer; Skill building behavior change; Smoking control; Strategy: Education; Stress management; Study design: Cross sectional; Target population age: Adults; Target population circumstances: Health insured population; Weight control; Wellness program

Indexed keywords

ADULT; ARTICLE; CONSUMER; CROSS-SECTIONAL STUDY; ECONOMICS; FEMALE; HEALTH CARE COST; HEALTH INSURANCE; HEALTH PROMOTION; HUMAN; INSURANCE; MALE; METHODOLOGY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; SOUTH AFRICA;

ADULT; CONSUMER PARTICIPATION; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH CARE COSTS; HEALTH PROMOTION; HUMANS; INSURANCE BENEFITS; INSURANCE, HEALTH; MALE; MIDDLE AGED; SOUTH AFRICA;

EID: 77949381920     PISSN: 08901171     EISSN: None     Source Type: Journal    
DOI: 10.4278/090217-QUAN-68R2.1     Document Type: Article

References (32)

1. Whitmer RW, Pelletier KR, Anderson DR, et al. A wake-up call for corporate America. J Occup Envion Med. 2003;45:916-925. (Pubitemid 37140039)
2. Mclntyre D, Thiede M. Health care financing and expenditure. In: Harrison S, Bhana R, Ntuli A, eds. South African Health Review. Durban, South Africa: Health Systems Trust; 2007:35-46.
3. Daar AS, Singer PA, Persad DL, et al. Grand challenges in chronic non-communicable diseases. Nature. 2007;45:494-496. (Pubitemid 350190238)
4. Abegunde D, Mathers CD, Adam T, et al. The burden and costs of chronic diseases in low-income and middle income countries. Lancet. 2007;370:1929-1938. (Pubitemid 350192633)
5. Ford ES, Ajani UA, Corft BB, et al. Explaining the decrease in U.S. deaths from coronary disease 1980-2000. N Engl J Med. 2007;356:2388-2398. (Pubitemid 46883773)
6. Thorpe KE, Florence CS, Howard DH, Joski P. The rising prevalence of treated disease: effects on private health insurance spending. Health Aff (Millwood). 2005;suppl Web exclusives:W5-317-W5-325.
7. Schult TMK, McGovern PM, Dowd BP, Pronk NP. The future of health promotion/disease prevention programs: the incentives and barriers faced by stakeholders. J Occup Environ Med. 2006;48:541-548. (Pubitemid 43904244)
8. Ozminkowski RJ, Goetzel RZ, Wang F, et al. The savings gained from participation in health promotion programs for Medicare beneficiaries. J Occup Environ Med. 2006;48:1125-1132. (Pubitemid 44737083)
9. Sassi F, Hurst J. The Prevention of Lifestyle-Related Chronic Diseases: an Economic Framework. Paris, France: Organisation for Economic Co-operation and Development; 2008. Health working paper 32.
10. Mello MM, Rosenthal MB. Wellness programs and lifestyle discrimination— the legal limits. N Engl J Med. 2008;359:192-199. (Pubitemid 351962045)
11. Okie S. The employer as health coach. N Engl J Med. 2007;357:1465-1469. (Pubitemid 47572630)
12. Robinson JC. Reinvention of health insurance in the consumer era. JAMA. 2004;291:1880-1886. (Pubitemid 38509502)
13. Health Partners Consumer Directed Health Plans Analysis: Summary of Key Findings October 2007. http://www healthpartners.com/files//39325.pdf
14. Leigh JP, Richardson N, Beck R, et al. Randomized controlled study of a retiree health promotion program. The Bank of American Study. Arch Intern Med. 1992;152:1201-1206.
15. Berger ML, Howell R, Nicholson S, Sharda C. Investing in healthy human capital. J Occup Environ Med. 2003;45:1213-1225. (Pubitemid 37541935)
16. Chapman LS. Meta-evaluation of worksite health promotion economic return studies: 2005 update. AmJ Health Promot. 2005;19:1-11. (Pubitemid 41060148)
17. Ozminkowski RJ, Ling D, Goetzel RZ, et al. Long term impact of Johnson & Johnson's Health and Wellness program on health care utilization and expenditure. J Occup Environ Med. 2002;44:21-29. (Pubitemid 34052803)
18. Pronk NP, Goodman MJ, O'Connor R, Martinson BC. Relationship between modifiable health risk and short-term health charges. JAMA. 1999;282: 2235-2239. (Pubitemid 30002967)
19. Pelletier KR. A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VI 2000-2004. J Occup Environ Med. 2005;47: 1051-1058. (Pubitemid 41504814)
20. Heaney C, Goetzel R. A review of health-related outcomes of multicomponent worksite health promotion programs. Am J Health Promot. 1997;11:290-307. (Pubitemid 27097512)
21. Center on Budget and Policy Priorities. Can incentives for healthy behavior improve health and hold down Medicaid costs? Available at: http://www. cbpp.org/6-l-07health.pdf. Accessed June 20, 2008.
22. Loewenstein G, Brennan T, Volpp KG. Asymmetric paternalism to improve health behaviors. JAMA. 2007;298:2415-2417. (Pubitemid 350190784)
23. The King's Fund. Using information to promote healthy behaviours. Available at: http://www.google.co.za/url?q=http://www.kingsfund.org.uk/ document. rm%3Fid%3D8275&ei = wGv2SrefOou4QbXul3WAw&sa=X&oi= nshc&resnum = l&ct=result&cd=l&ved-OCAgQzgQoAA&usg= AFQiCNHCiPIVu3N2v- Vv49zzqWGupcplGg. Accessed March 9, 2009.
24. Warburton DER, Nicol CW, Bredin SD. Health benefits of physical activity: the evidence. CMAJ. 2006;174:801-809.
25. Lee IM, Skerrett PJ. Physical activity and all-cause mortality: what is the dose-repose relation? Med Sei Sports Exerc 2001;33:S459-S471. (Pubitemid 32524739)
26. Franco OH, de Laet C, Peeters A, et al. Effects of physical activity on life expectancy with cardiovascular disease. Arch Intern Med. 2005;165:2355-2360. (Pubitemid 41640847)
27. Kim KH, Timm NH. Univariate and Multivariate General Linear Model: Theory and Application Using SAS. 2nd ed. Barton Rouge, La: Taylor and Francis; 2006.
28. Breiman L, Friedman J, Olshen R, Stone C. Classification and Regression Trees. Belmont, Calif: Wadsworth; 1984.
29. Wang F, McDonald T, Champagne LJ, Edington DW. Relationship of body mass index and physical activity to health care costs among employees. J Occup Environ Med. 2004;46:428-436. (Pubitemid 38623680)
30. Nguyen HQ, Ackermann RT, Maciejewski M, et al. Managed-Medicare health club benefit and reduced health care costs among older adults. Prev Chronic Dis. 2008;5:A14.
31. Naydeck BL, Pearson JA, Ozminkowski RJ, et al. The impact of the highmark employee wellness programs on 4-year healthcare costs. J Occup Environ Med. 2008;50:146-156. (Pubitemid 351321682)
32. Serxner SA, Gold DB, Grossmeier JJ, Anderson DR. The relationship between health promotion program participation and medical costs, J Occup Environ Med. 2003;45:1196-1200. (Pubitemid 37420865)