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Related Experiment Videos

Hail, Not Frail! MA's Wellness Reach Expands.

Frank Diamond

    Managed Care (Langhorne, Pa.)
    |June 13, 2019
    PubMed
    Summary
    This summary is machine-generated.

    Health insurance plans may use wellness programs to manage medical costs. If successful, these programs could benefit beneficiaries' health outcomes by reducing healthcare spending.

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    Area of Science:

    • Health economics
    • Insurance management
    • Public health

    Background:

    • Historically, insurers faced accusations of using wellness programs to attract healthier individuals into Medicare Advantage (MA).
    • Current focus shifts to the potential of wellness initiatives for managing healthcare expenditures within health plans.

    Purpose of the Study:

    • To investigate the evolving role of wellness programs in health insurance.
    • To assess whether wellness initiatives can effectively control medical spending for health plans.

    Main Methods:

    • Analysis of insurance industry practices regarding wellness programs.
    • Economic evaluation of wellness program impact on medical costs.

    Main Results:

    Keywords:
    Disease Management

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  • The strategic use of wellness programs by insurers is under scrutiny.
  • Potential for wellness programs to influence medical spending is a key area of interest.

    • Conclusions:

    • The effectiveness of wellness programs in managing medical spending is a critical question for health plans.
    • If wellness programs reduce medical costs, beneficiaries may experience improved health.
    • Joseph Newhouse of Harvard highlights the potential health benefits for beneficiaries if medical spending is minimized.