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Evaluating an employee wellness program.

Sankar Mukhopadhyay1, Jeanne Wendel

  • 1Department of Economics (0030), University of Nevada, Reno, NV, 89557-0030, USA, sankarm@unr.edu.

International Journal of Health Care Finance and Economics
|June 11, 2013
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Summary

Evaluating new employee wellness programs requires realistic metrics. Focusing on short-term measures like participation and behavior change, rather than immediate cost savings, offers a more practical assessment of a program's initial success.

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Area of Science:

  • Health Economics
  • Organizational Behavior
  • Program Evaluation

Background:

  • Published literature often emphasizes return-on-investment (ROI) for evaluating wellness programs, with meta-analyses suggesting potential net savings.
  • However, surveys reveal fewer than half of programs report savings, and actuarial analysts deem ROI unrealistic for new initiatives.
  • Analysts propose focusing on vendor capabilities in employee recruitment and behavior change induction for evaluating new programs.

Purpose of the Study:

  • To assess the impact of a new employee wellness program using realistic evaluation criteria beyond immediate financial returns.
  • To determine if a new wellness program effectively recruits participants and induces short-term behavioral changes.
  • To examine the short-term effects of the wellness program on healthcare expenditures.

Main Methods:

  • Employed difference-in-difference propensity score matching for impact estimation.
  • Utilized one year of pre-implementation and three years of post-implementation data.
  • Analyzed program success based on employee recruitment, behavior change, and healthcare cost trends.

Main Results:

  • The wellness program successfully recruited a diverse range of employees.
  • The program demonstrated success in inducing short-term behavioral changes, evidenced by increased preventive screenings.
  • No significant impact on healthcare expenditures was observed in the short term; costs showed an insignificant increase.

Conclusions:

  • Return-on-investment may be an unrealistic metric for new wellness programs, potentially leading to premature termination.
  • Evaluating new wellness programs based on short-term outcomes like participation and behavior change provides a more realistic strategy.
  • Focusing on achievable short-term goals can better inform the long-term viability and potential benefits of employee wellness initiatives.