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J Occup Environ Med. 2015 Nov;57(11):1159-69. doi: 10.1097/JOM.0000000000000555.

Impacts of Workplace Health Promotion and Wellness Programs on Health Care Utilization and Costs: Results From an Academic Workplace.

Author information

1
Division of Occupational and Environmental Medicine (Dr Dement, Dr Epling), Duke University Medical Center; Duke Occupational Health and Wellness (Ms Joyner); and Duke Human Resources (Mr Cavanaugh), Durham, North Carolina.

Abstract

OBJECTIVE:

This study evaluated the impacts of a long-standing workplace health promotion (HP) program on health care utilization and costs and estimated return on investment (ROI).

METHODS:

Analyses used a retrospective, observational cohort design based on 7 years (2005 to 2011) of health claims and HP program participation data for 3829 HP participants and 6617 controls. Inverse propensity score-weighted mixed-model regression methods were used to balance employee demographics and comorbidities by study arm.

RESULTS:

Mean monthly health care costs were $35 less for HP participants compared with controls, and results were robust based on sensitivity analyses. ROI was estimated to be $2.53 for every dollar spent on the HP program.

CONCLUSIONS:

Results support a positive impact of HP program participation with regard to reduced health care utilization and costs and a positive ROI.

PMID:
26539763
DOI:
10.1097/JOM.0000000000000555
[Indexed for MEDLINE]

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