Impact of a Comprehensive Population Health Management Program on Health Care Costs

OBJECTIVE:Assess the influence of participation in a population health management (PHM) program on health care costs. METHODS:A quasi-experimental study relied on logistic and ordinary least squares regression models to compare the costs of program participants with those of nonparticipants, while c...

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Bibliographic Details
Published in:Journal of occupational and environmental medicine 2013-06, Vol.55 (6), p.634-643
Main Authors: Grossmeier, Jessica, Seaverson, Erin L.D., Mangen, David J., Wright, Steven, Dalal, Karl, Phalen, Chris, Gold, Daniel B.
Format: Article
Language:English
Subjects:
Bias
Biological and medical sciences
Cost Savings - economics
Demographics
Disease Management
Extraction and Processing Industry
Fast Track Article
Female
Health Care Costs - statistics & numerical data
Health care expenditures
Health Promotion - economics
Health Services - economics
Health Services - utilization
Humans
Male
Medical sciences
Middle Aged
Occupational Health - economics
Occupational medicine
Program Evaluation
Public health. Hygiene-occupational medicine
Regression analysis
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Summary:OBJECTIVE:Assess the influence of participation in a population health management (PHM) program on health care costs. METHODS:A quasi-experimental study relied on logistic and ordinary least squares regression models to compare the costs of program participants with those of nonparticipants, while controlling for differences in health care costs and utilization, demographics, and health status. Propensity score models were developed and analyses were weighted by inverse propensity scores to control for selection bias. RESULTS:Study models yielded an estimated savings of $60.65 per wellness participant per month and $214.66 per disease management participant per month. Program savings were combined to yield an integrated return-on-investment of $3 in savings for every dollar invested. CONCLUSIONS:A PHM program yielded a positive return on investment after 2 years of wellness program and 1 year of integrated disease management program launch.
ISSN:1076-2752
1536-5948
DOI:10.1097/JOM.0b013e318297306f