Estimating the return on investment from a health risk management program offered to small Colorado-based employers

Journal of Occupational and Environmental Medicine

Volumn 56, Issue 5, 2014, Pages 554-560

  Goetzel, Ron Z ^a,b   Tabrizi, Maryam ^a   Henke, Rachel Mosher ^b   Benevent, Richele ^c   Brockbank, Claire V S ^d   Stinson, Kaylan ^e   Trotter, Margo ^f,g   Newman, Lee S ^d  

^a Vice President of Consulting and Applied Research Truven Health Analytics   (United States)

^b IBM WATSON HEALTH   (United States)

^c Truven Health Analytics ^*  (Romania)

^d Segue Consulting   (United States)

^e Food Science and Human Nutrition   (United States)

^f UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^g Trotter Wellness   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHOLESTEROL; GLUCOSE;

ADULT; ALCOHOL CONSUMPTION; ARTICLE; CHOLESTEROL BLOOD LEVEL; COMMERCIAL PHENOMENA; COST CONTROL; DEPRESSION; EATING DISORDER; FEMALE; GLUCOSE BLOOD LEVEL; HEALTH CARE PERSONNEL MANAGEMENT; HEALTH HAZARD; HEALTH PROGRAM; HUMAN; HYPERTENSION; INVESTMENT; MALE; OBESITY; PHYSICAL INACTIVITY; PRODUCTIVITY; RETURN OF INVESTMENT; RISK FACTOR; RISK MANAGEMENT; RISK REDUCTION; STRESS; TOBACCO USE; UNITED STATES; WORKMAN COMPENSATION; COST BENEFIT ANALYSIS; ECONOMICS; HEALTH PROMOTION; MIDDLE AGED; OCCUPATIONAL HEALTH; PROSPECTIVE STUDY;

ADULT; COLORADO; COST-BENEFIT ANALYSIS; FEMALE; HEALTH PROMOTION; HUMANS; MALE; MIDDLE AGED; OCCUPATIONAL HEALTH; PROSPECTIVE STUDIES; RISK FACTORS; RISK REDUCTION BEHAVIOR;

EID: 84900821555     PISSN: 10762752     EISSN: 15365948     Source Type: Journal    
DOI: 10.1097/JOM.0000000000000152     Document Type: Article

References (40)

1. Kaiser Family Foundation, Health Research and Educational Trust. Employer health benefits: annual survey.Available at: http://ehbs.kff.org/pdf/2011/8225. pdf. Published 2012. Accessed August 28, 2013.
2. Health policy brief: workplace wellness programs. Health Aff (Millwood). Available at: http://healthaffairs.org/healthpolicybriefs/brief pdfs/healthpolicybrief 69.pdf. Updated December 4, 2012. Accessed August 28, 2013.
3. Linnan L, BowlingM, Childress J, et al. Results of the 2004 NationalWorksite Health Promotion Survey. Am J Public Health. 2008;98:1503-1509.
4. US Office of Personnel Management. Federal workplace wellness resources. Available at: http://www.opm.gov/Employment and Benefits/WorkLife/ HealthWellness/wellnessresources/worksitewellnessprogram.asp. Published 2010. Accessed August 28, 2013.
5. Horwitz JR,Kelly BD,DiNardo JE.Wellness incentives in theworkplace: cost savings through cost shifting to unhealthy workers. Health Aff (Millwood). 2013;32:468-476.
6. Yen L, Schultz AB, McDonald T, Champagne L, Edington DW. Participation in employer-sponsored wellness programs before and after retirement. Am J Health Behav. 2006;30:27-38.
7. McPeck W, Ryan M, Chapman LS. Bringing wellness to the small employer. Am J Health Promot. 2009;23:1-10, iii.
8. Linnan LA, Birken BE. Small businesses, worksite wellness, and public health: a time for action. N C Med J. 2006;67:433-437.
9. Eibner C, Marquis M. Employers health insurance cost burden, 1996-2005. Monthly Labor Review. Available at: http://www.bls.gov/opub/mlr/2008/06/ art3full.pdf . Published 2008.
10. Sorensen G, Barbeau E, Stoddard AM, Hunt MK, Kaphingst K, Wallace L. Promoting behavior change among working-class, multiethnic workers: results of the healthy directions-small business study. Am J Public Health. 2005;95:1389-1395.
11. Merrill RM, Aldana SG, Vyhlidal TP, Howe G, Anderson DR,Whitmer RW. The impact of worksite wellness in a small business setting. J Occup Environ Med. 2011;53:127-131.
12. Witt LB, Olsen D, Ablah E. Motivating factors for small and midsized businesses to implement worksite health promotion. Health Promot Pract. 2013;14:876-884.
13. The Health Project C. Everett Koop National Health Awards. Available at: www.thehealthproject.com/documents/.../eca platinum wellness.pdf. Accessed September 6, 2013.
14. Baicker K, Cutler D, Song Z. Workplace wellness programs can generate savings. Health Aff (Millwood). 2010;29:304-311.
15. Lerner D, Rodday AM, Cohen JT, Rogers WH. A systematic review of the evidence concerning the economic impact of employee-focused health promotion and wellness programs. J Occup Environ Med. 2013;55:209-222.
16. Trogdon J, Finkelstein EA, Reyes M, Dietz WH. A return-on-investment simulation model of workplace obesity interventions. J Occup Environ Med. 2009;51:751-758.
17. Goetzel RZ, Anderson DR, Whitmer RW, Ozminkowski RJ, Dunn RL, Wasserman J. The relationship between modifiable health risks and health care expenditures. An analysis of the multi-employer HERO health risk and cost database. J Occup Environ Med. 1998;40:843-854.
18. Leutzinger JA, Ozminkowski RJ, Dunn RL, et al. Projecting future medical care costs using four scenarios of lifestyle risk rates. Am J Health Promot. 2000;15:35-44.
19. Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med. 2004;46:398-412.
20. Baker KM, Goetzel RZ, Pei X, et al. Using a return-on-investment estimation model to evaluate outcomes from an obesity management worksite health promotion program. J Occup Environ Med. 2008;50:981-990.
21. Goetzel RZ, Pei X, Tabrizi MJ, et al. Ten modifiable health risk factors are linked to more than one-fifth of employer-employee health care spending. Health Aff (Millwood). 2012;31:2474-2484.
22. Kessler R. Integrated Benefits Institute, HPQ research tool. Available at: http://www.ibiweb.org/tools/hpq-select. Accessed September 4, 2013.
23. Kowlessar NM, Goetzel RZ, Carls GS, Tabrizi MJ, Guindon A. The relationship between 11 health risks and medical and productivity costs for a large employer. J Occup Environ Med. 2011;53:468-477.
24. Goetzel RZ, Carls GS, Wang S, et al. The relationship between modifiable health risk factors and medical expenditures, absenteeism, short-Term disability, and presenteeism among employees at Novartis. J Occup Environ Med. 2009;51:487-499.
25. Henke RM, Carls GS, Short ME, et al. The relationship between health risks and health and productivity costs among employees at Pepsi Bottling Group. J Occup Environ Med. 2010;52:519-527.
26. Rolando L, Byrne DW, McGown PW, Goetzel RZ, Elasy TA, Yarbrough MI. Health risk factor modification predicts incidence of diabetes in an employee population: results of an 8-year longitudinal cohort study. J Occup Environ Med. 2013;55:410-415.
27. Carls GS, Goetzel RZ, Henke RM, Bruno J, Isaac F, McHugh J. The impact of weight gain or loss on health care costs for employees at the Johnson &Johnson Family of companies. J Occup Environ Med. 2011;53:8-16.
28. Goetzel RZ, Gibson TB, Short ME, et al. A multi-worksite analysis of the relationships among body mass index, medical utilization, and worker productivity. J Occup Environ Med. 2010;52(suppl 1):S52-S58.
29. Burton WN, Chen CY, Conti DJ, Schultz AB, Pransky G, Edington DW. The association of health risks with on-The-job productivity. J Occup Environ Med. 2005;47:769-777.
30. Boles M, Pelletier B, Lynch W. The relationship between health risks and work productivity. J Occup Environ Med. 2004;46:737-745.
31. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System SurveyData.Atlanta, GA: US Department of Health andHuman Services, Centers for Disease Control and Prevention; 2002.
32. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System SurveyData.Atlanta, GA: US Department of Health andHuman Services, Centers for Disease Control and Prevention; 2003.
33. Thom T, Haase N, Rosamond W, et al. Heart disease and stroke statistics-2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006;113: e85-e151.
34. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey-Health-Related Quality of Life (HRQOL) Data.Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2002.
35. Truven Health Analytics. MarketScan R Database. Ann Arbor, MI: Truven Health Analytics; 2012.
36. US Department of Labor Labor Force Employment and Earnings-Bureau of Labor Statistics. National Compensation Survey. Available at: http://www. bls.gov/ncs/ect/. Published 2013. Accessed February 17, 2012.
37. Tsai SP, Gilstrap EL, Cowles SR, Waddell LC Jr, Ross CE. Personal and job characteristics of musculoskeletal injuries in an industrial population. J Occup Med. 1992;34:606-612.
38. Haslam C, Atkinson S, Brown S, Haslam RA. Perceptions of the impact of depression and anxiety and the medication for these conditions on safety in the workplace. Occup Environ Med. 2005;62:538-545.
39. Helmkamp JC, Lincoln JE, Sestito J, Wood E, Birdsey J, Kiefer M. Risk factors, health behaviors, and injury among adults employed in the transportation, warehousing, and utilities super sector. Am J Ind Med. 2013;56: 556-568.
40. Carls GS, Goetzel RZ, Henke RM, Bruno J, Isaac F, McHugh J. The impact of weight gain or loss on health care costs for employees at the Johnson &Johnson Family of Companies. J Occup Environ Med. 2011;53:8-16.