In Health Care, An Ounce of
Prevention
Can Drive Down Your Healthcare Costs
Experts believe healthcare costs could double within five
years if they continue at their current rate of 15% each year. Why such a sharp increase?
- As our
population ages, health problems begin to surface.
- The
boon and bane of advances in medicine offset each other: New and costly
tests improve the ability to diagnose illnesses.
- Left
unfettered, controllable health conditions wreak havoc on the lives of
Americans.
Modern medicine hasn’t discovered a way to stop the aging
process, and we don’t really want to limit technological advances that lead to
better treatment and potential cures for disease. It seems the best solution to high healthcare
costs is managing preventable health conditions.
Chronic diseases such as diabetes and heart disease account
for nearly 80 percent of the nation’s total medical costs. People with chronic disease account for three
quarters of hospital admissions and nearly 90% of all prescriptions filled. One quarter of these people have some type of
activity limitation or work restriction.
These diseases, along with cancer, stroke and Alzheimer’s
disease, are among the top 10 causes of death in America,
according to the Centers for Disease Control. Astonishingly, they are all preventable.
People who make healthy lifestyle choices are less likely to
suffer adverse outcomes or die from these types of diseases than people who choose
poor alternatives. Companies that offer
resources to help employees make good choices can reduce costs related to
employee absenteeism and healthcare.
Wellness or preventive health programs have been available
to many businesses, but their execution has proven ineffective at addressing
rising medical costs. Today there exists
a more comprehensive and systematic approach to health improvement and disease
prevention – personal health management.
This approach has reduced demand for medical care by improving the
overall health of targeted employee populations.
Comprehensive personal health management programs often pay
for themselves within the first year.
Case studies reveal the systematic approach can attain a return on
investment of 3:1 to 6:1 when offered to employees. Unfortunately, only 20-30% of eligible employees
usually take advantage of a voluntary program, and they are likely to have no
major health issues. Oftentimes, voluntary
programs have limited ability to reach those who need help the most.
Employees need both motivation and guidance to take responsibility
for their own health. Motivating factors
can include high deductible insurance plans, health reimbursement accounts,
discounted insurance premiums and even cash incentives. Guidance works through a team of healthcare
providers, patients, families and employers.
Their teamwork incorporates health risk assessments, biometric
screenings, triage, interventions, education and awareness, self-care
resources, clinical disease management and incentives for healthy lifestyles.
Health risk assessments or HRAs surveys the individual’s
medical history and lifestyle. Biometric
screenings include basic blood panels and heart rate and blood pressure
examinations. They also measure height,
weight and body fat.
Triage identifies participants with health risks and offers immediate
help to reduce those risks.
Interventions are year-round programs that use education and coaching to
replace unhealthy habits with healthy ones.
Education and awareness programs include communication tools
such as newsletters that raise awareness and promote healthy living. Self-care resources help employees evaluate
medical problems to determine their options.
Disease management uses evidence-based medical treatments to
help those who already have serious chronic diseases. Wellness incentives come in many forms,
including monetary rewards and health insurance discounts.
The goal of personal health management is early intervention
to reduce the risk of severe and costly medical procedures brought on by
chronic disease. Employees benefit from
living healthier and productive lives.
Employers reap substantial savings in healthcare costs by not having to
pay for costly medical procedures such as transplants.
More and more businesses are adopting comprehensive personal
health management programs to reduce the sharp increase in their healthcare
costs and increase the health and productivity of their employees.
After all, didn’t your mother always say, “An ounce of
prevention is worth a pound of cure”?