HERO 记分卡在预测未来医疗保健成本和风险趋势方面的预测有效性。
The predictive validity of the HERO Scorecard in determining future health care cost and risk trends.
机构信息
From the Emory University Institute for Health and Productivity Studies and Truven Health Analytics (Dr Goetzel), Bethesda, Md; Truven Health Analytics (Dr Henke), Cambridge, Mass; Truven Health Analytics (Ms Benevent), Santa Barbara, Calif; Truven Health Analytics (Dr Tabrizi), Bethesda, Md; Emory University Institute for Health and Productivity Studies (Ms Kent, Ms Smith, and Dr Roemer), Washington, DC; StayWell Health Management (Drs Grossmeier and Anderson), St Paul, Minn; Wellness & Prevention Inc (Dr Mason), Johnson & Johnson and Johns Hopkins School of Medicine, Ann Arbor, Mich; Mercer (Dr Gold), Minneapolis, Minn; and Mercer (Dr Noeldner), Irvine, Calif.
出版信息
J Occup Environ Med. 2014 Feb;56(2):136-44. doi: 10.1097/JOM.0000000000000081.
OBJECTIVE
To determine the ability of the Health Enhancement Research Organization (HERO) Scorecard to predict changes in health care expenditures.
METHODS
Individual employee health care insurance claims data for 33 organizations completing the HERO Scorecard from 2009 to 2011 were linked to employer responses to the Scorecard. Organizations were dichotomized into "high" versus "low" scoring groups and health care cost trends were compared. A secondary analysis examined the tool's ability to predict health risk trends.
RESULTS
"High" scorers experienced significant reductions in inflation-adjusted health care costs (averaging an annual trend of -1.6% over 3 years) compared with "low" scorers whose cost trend remained stable. The risk analysis was inconclusive because of the small number of employers scoring "low."
CONCLUSIONS
The HERO Scorecard predicts health care cost trends among employers. More research is needed to determine how well it predicts health risk trends for employees.
目的
确定健康促进研究组织（HERO）记分卡预测医疗保健支出变化的能力。
方法
将 2009 年至 2011 年期间完成 HERO 记分卡的 33 个组织的个别员工医疗保险理赔数据与雇主对记分卡的回应联系起来。将组织分为“高”和“低”评分组，并比较医疗保健成本趋势。二次分析检验了该工具预测健康风险趋势的能力。
结果
与成本趋势保持稳定的“低”评分者相比，“高”评分者的通胀调整后医疗保健成本显著降低（3 年内平均每年下降 1.6%）。由于“低”评分的雇主数量较少，风险分析没有定论。
结论
HERO 记分卡预测雇主的医疗保健成本趋势。需要进一步研究以确定它对员工健康风险趋势的预测能力。
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