Johnston Kenton J, Hockenberry Jason M, Rask Kimberly J, Cunningham Lynn, Brigham Kenneth L, Martin Greg S
From the Department of Health Policy and Management (Mr Johnston, Dr Hockenberry, and Dr Rask), Rollins School of Public Health, Emory University; Emory-Georgia Tech Predictive Health Institute (Mr Cunningham), Predictive Health Institute; Emory University School of Medicine (Drs Brigham and Martin); and Emory-Georgia Tech Center for Health Discovery and Well-Being (Dr Martin), Atlanta, Ga.
J Occup Environ Med. 2015 Aug;57(8):897-903. doi: 10.1097/JOM.0000000000000488.
To evaluate the impact of a pilot workplace health partner intervention delivered by a predictive health institute to university and academic medical center employees on per-member, per-month health care expenditures.
We analyzed the health care claims of participants versus nonparticipants, with a 12-month baseline and 24-month intervention period. Total per-member, per-month expenditures were analyzed using two-part regression models that controlled for sex, age, health benefit plan type, medical member months, and active employment months.
Our regression results found no statistical differences in total expenditures at baseline and intervention. Further sensitivity analyses controlling for high cost outliers, comorbidities, and propensity to be in the intervention group confirmed these findings.
We find no difference in health care expenditures attributable to the health partner intervention. The intervention does not seem to have raised expenditures in the short term.
评估一家预测健康机构为大学和学术医疗中心员工提供的试点工作场所健康伙伴干预措施对每位成员每月医疗保健支出的影响。
我们分析了参与者与非参与者的医疗保健索赔情况，基线期为12个月，干预期为24个月。使用双部分回归模型分析每位成员每月的总支出，该模型控制了性别、年龄、健康福利计划类型、医疗成员月数和在职月数。
我们的回归结果发现基线期和干预期的总支出没有统计学差异。进一步控制高成本异常值、合并症和干预组倾向的敏感性分析证实了这些发现。
我们发现健康伙伴干预措施对医疗保健支出没有影响。该干预措施在短期内似乎没有增加支出。
