Long-Term Outcomes of a Cardiovascular and Diabetes Risk-Reduction Program Initiated by a Self-Insured Employer.

Area of Science:

• Health outcomes research
• Occupational health
• Pharmacoeconomics

Background:

• Cardiovascular disease is a leading cause of death and a major challenge for self-insured employers.
• Disease management programs can improve employee health and control costs, but long-term effects require evaluation.

Purpose of the Study:

• To assess 5-year health, economic, and quality-of-life outcomes of an employer-sponsored disease management program.

Main Methods:

• A 5-year quasi-experimental study of self-insured health plan members with chronic conditions.
• Participants received regular pharmacist support for lifestyle changes and medication management.
• Biometric markers, lifestyle, quality of life, and productivity were assessed annually.

Main Results:

• Significant improvements in cholesterol, blood pressure, exercise, and diet were observed after 5 years.
• Participants reported better general health and fewer unhealthy days.
• The program yielded a $9.64 return on investment for every $1 spent on healthcare and productivity.

Conclusions:

• Sustained participation in employer-sponsored disease management programs can significantly improve employee health and well-being.
• These programs offer a viable strategy for reducing health-related costs for employers.