- Published in Journal of Occupational and Environmental Medicine -

The Value of a Well-Being Improvement Strategy: Longitudinal Success Across Subjective and Objective Measures Observed in a Firm Adopting a Consumer-Driven Health Plan

Author(s): Xiaobo Guo, MS; Carter Coberley, PhD; James E. Pope, MD; and Aaron Wells, PhD

Objective: The objective of this study is to evaluate effectiveness of a firm’s 5-year strategy toward improving well-being while lowering health care costs amidst a shift to a Consumer-Driven Health Plan.

Methods: Study population participated in a robust well-being improvement solution that included company sanctioned fitness activities, weight loss and tobacco cessation programs, online well-being improvement plans and resources, free membership at a national network of gyms, and health coaching – all of which were underscored by a purposeful and pervasive culture of well-being. Repeated measures statistical models were employed to test and quantify association between key demographic factors, employment type, year, individual wellbeing, and outcomes of health care costs, obesity, smoking, absence, and performance.

Results: Average individual well-being trended upward by 13.5% over 5 years, monthly allowed amount health care costs declined 5.2% on an average per person per year, and obesity and smoking rates declined by 4.8 and 9.7%, respectively, on average each year. The results show that individual well-being was significantly associated with each outcome and in the expected direction.

Conclusions: The firm’s strategy was successful in driving statistically significant, longitudinal well-being, biometric and productivity improvements, and health care cost reduction.

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Topics: Well-Being Weight Loss Smoking Cessation Health Conditions Employer Populations Performance/Productivity Peer Reviewed Health Plan & Health System Medical Costs & Utilization Community Well-Being