- Published in Diabetes Care -

Health Care Use and Costs Associated with Use of Health Club Membership Benefit in Older Adults with Diabetes

Author(s): Huong Q. Nguyen, RN, PhD; Thomas Koepsell, MD, MPH; Jürgen Unützer, MD, MPH; Eric Larson, MD, MPH; and James P. LoGerfo, MD, MPH

Diabetes CareOBJECTIVE — The purpose of this study was to determine whether elective use of a health plan–sponsored health club membership had an impact on health care use and costs among older adults with diabetes.

RESEARCH DESIGN AND METHODS — Administrative claims for 2,031 older adults with diabetes enrolled in a Medicare Advantage plan were obtained for this retrospective cohort study. Participants (n = 618) in the plan-sponsored health club benefit (Silver Sneakers [SS]) and control subjects (n = 1,413) matched on SS enrollment index date were enrolled in the plan for at least 1 year before the index date. Two-year health care use and costs of SS participants and control subjects were estimated in regressions adjusting for baseline differences.

RESULTS — SS participants were more likely to be male, had a lower chronic disease burden, used more preventive services, and had a lower prevalence of arthritis (P ≤ 05). SS participants had lower adjusted total health care costs than control subjects in the first year after enrollment (−$1,633 [95% CI −$2,620 to −$646], P = 0.001), and adjusted total costs in year 2 trended lower (−$1,230 [−$2,494 to $33], P = 0.06). Participants who made on average ≥2 SS visits/week in year 1 had lower total costs in year 2 ($2,141 [−$3,877 to −$405], P = 0.02) than participants who made <2 visits/week.

CONCLUSIONS — Use of a health club benefit by older adults with diabetes was associated with slower growth in total health care costs over 2 years; greater use of the benefit was actually associated with declines in total costs.

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Topics: Health Conditions Older Populations Peer Reviewed Health Plan & Health System Medical Costs & Utilization