Guest blogger: Wellness programs cannot affect nearly 80% of health spending

 

For all of the hype about employee wellness, it’s difficult to pinpoint exactly how much prevention and management programs can really save. Still, many people would be surprised by findings from a recent Health Affairs study http://content.healthaffairs.org/content/31/11/2474.abstract that concludes the 10 modifiable health risks (listed below) only connect to about 20% of health care spending.  The 10 costly sins are: 
• Obesity / overweight 
• Smoking/ tobacco use 
• High blood pressure 
• High blood cholesterol 
• High blood glucose
• Depression 
• Physical inactivity 
• Stress 
• Poor eating habits 
• Alcohol use 
The study included more than 92,000 employees at seven companies over a three-year span.  It tracked employees’ answers to a health risk assessment http://ebn.benefitnews.com/news/biometric-data-is-more-useful-than-information-from-a-health-risk-assessmen-2728547-1.html and their medical claims.  
People with a high risk of depression were the most likely to have significantly higher medical costs — up to 48% higher than an average employee without depression. Blood glucose and blood pressure came in second place: both boosted medical costs by almost 32%. Obesity — popularly cited as public enemy number one — raised an employee’s costs by around 27%.  
There are at least two ways to respond to this study: One is to celebrate that wellness programs can have an impact on one-fifth of health spending. The other is to bemoan that wellness cannot affect nearly 80% of health spending.  
For the glass-half-full perspective, benefit managers at least can roughly calculate how much money their wellness programs are attempting to influence and data analysis could guide efforts to the most common problems that employees have.  
Still, a realistic benefits manager should acknowledge that the most successful wellness program may only have a limited impact. For example, a weight-loss program might help program participants reduce their medical costs by 10%. This means that their medical costs would still be 14% higher than an average non-obese employee (90% of 127% of average is 114% of average).  Meanwhile, the non-participants are still racking up expenses and since medical costs go up every year, this year’s 127% of average is higher than last year’s.  All of which is to say that the successful weight-loss program will not make even a small dent in the overall costs.  
There are many worthwhile reasons to pursue a wellness strategy: to attract employees, to promote health and to offer a competitive benefit. However, it’s good to be realistic about how much money wellness can save, because it’s not as much as many would like to think.  
Guest blogger Linda K. Riddell is a principal at Health Economy, LLC. She can be contacted at LRiddell@HealthEconomy.net.

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