Association Between Changes in Health Risk Status and Changes in Future Health Care Costs: A Multiemployer Study.
ABSTRACT OBJECTIVE:: To assess the influence of health risk change on changes in health care costs. METHODS:: Multivariate regression models examined change in health care costs concurrent with and following completion of two health assessments (HAs) approximately 1 year apart. Final models examined changes in costs for individuals with and without chronic conditions. RESULTS:: After controlling for chronic condition status, health risk changes between the first and second HA were associated with health care cost changes in the year following the second HA. Those with chronic conditions experienced reductions of $129 for each risk reduced and increases of $210 for each risk added. CONCLUSIONS:: Changes in health care costs were preceded by changes in health risk status, supporting the use of HA and biometric screening measures as leading indicators of the cost impact of health management programs.
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ABSTRACT: To determine the ability of the Health Enhancement Research Organization (HERO) Scorecard to predict changes in health care expenditures. Individual employee health care insurance claims data for 33 organizations completing the HERO Scorecard from 2009 to 2011 were linked to employer responses to the Scorecard. Organizations were dichotomized into "high" versus "low" scoring groups and health care cost trends were compared. A secondary analysis examined the tool's ability to predict health risk trends. "High" scorers experienced significant reductions in inflation-adjusted health care costs (averaging an annual trend of -1.6% over 3 years) compared with "low" scorers whose cost trend remained stable. The risk analysis was inconclusive because of the small number of employers scoring "low." The HERO Scorecard predicts health care cost trends among employers. More research is needed to determine how well it predicts health risk trends for employees.Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 01/2014; DOI:10.1097/JOM.0000000000000081 · 1.80 Impact Factor
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ABSTRACT: Abstract The objective of this study was to estimate the association between changes in health care expenditures relative to changes in health risk status for employers of all sizes. Repeat health risk assessments (HRAs) were obtained from 50,005 employees and spouses with 2 years of health plan enrollment, and from 37,559 employees and spouses with 3 years of enrollment in employer-sponsored medical coverage. Changes in health care expenditures were measured from the year before completion of the first HRA to the years before and after the completion of the second HRA. Propensity score weighting was used to adjust for those who did not repeat the HRA so results could be extrapolated to the larger population. Propensity score weighted multiple regression analyses were used to estimate the relationship between changes in health care expenditures with changes in risk status for 9 risk categories. Significantly higher health care expenditures were associated with those who moved from low risk to medium or high risk, compared to those who remained low risk. Expenditure reductions estimated for those who improved their health status from high risk to medium or low risk were not statistically significant. This study is unique because of its large sample size, its use of data from a wide range of employer sizes, and its efforts to extend generalizability to those who did not complete both HRAs. These results demonstrate that the potential for short-term health care savings may be greater for programs that help maintain low risk than for programs focused on risk reduction. (Population Health Management 2014;xx:xxx-xxx).Population Health Management 06/2014; 17(5). DOI:10.1089/pop.2013.0103 · 1.35 Impact Factor
- Circulation 07/2014; 130(8). DOI:10.1161/CIR.0000000000000079 · 14.95 Impact Factor