Department of Public Health, College of Life Sciences, Brigham Young University, Provo, Utah (Dr Merrill).
J Occup Environ Med. 2018 Nov;60(11):985-989. doi: 10.1097/JOM.0000000000001417.
The aim of this study was to identify the number and total cost of medical claims for members of the Municipalities, Colleges, Schools Insurance Group by participation status in a comprehensive incentive-based wellness program.
Analyses are based on 6810 members during 2013 to 2016. The wellness program began in 2014.
Approximately 32.5% women and 22.9% men (P < 0.0001) participated in the wellness program. In 2013, those who participated in 2014 to 2016 filed a higher number of medical claims (P = 0.0004), but their total cost of claims was similar to those who did not participate in 2014 to 2016. By 2016, participants in the wellness program on average filed 3.6 (P = 0.0102) fewer claims and experienced $1346 (P = 0.0011) lower total cost of claims.
Wellness program participation was associated with a lower number and total cost of medical claims.
本研究旨在通过参与全面激励性健康计划的情况，确定市政、学院、学校保险集团成员的医疗索赔数量和总成本。
分析基于 2013 年至 2016 年的 6810 名成员。该健康计划于 2014 年开始。
约 32.5%的女性和 22.9%的男性（P<0.0001）参加了健康计划。2013 年，那些参加了 2014 年至 2016 年的人提出了更多的医疗索赔（P=0.0004），但他们的索赔总成本与那些没有参加 2014 年至 2016 年的人相似。到 2016 年，参加健康计划的人平均提出的索赔减少了 3.6 次（P=0.0102），索赔总成本降低了 1346 美元（P=0.0011）。
参与健康计划与医疗索赔数量和总成本的降低有关。
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