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Health Risk Reduction Programs in Employer-Sponsored Health Plans: Part I - Efficacy

Mark A. Rothstein
University of Louisville - Institute for Bioethics, Health Policy, and Law; University of Louisville - Louis D. Brandeis School of Law



Journal of Occupational and Environmental Medicine, Vol. 51, No. 8, August 2009

Abstract:     
We sought to determine whether workplace health risk reduction programs (HRRPs) using health risk assessments (HRAs), individually focused risk reduction, and financial incentives succeeded in improving employee health and reducing employer health benefit costs. Methods: We reviewed the proprietary HRA available to us and conducted a literature review to determine the efficacy of HRRPs using HRAs, individualized employee interventions, and financial incentives for employee participation. Results: There is some evidence that HRRPs in employer-sponsored programs improve measures of employee health, but the results of these studies are somewhat equivocal. Conclusion: Employer-sponsored HRRPs may have some benefits, but problems in plan design and in the studies assessing their efficacy complicate drawing conclusions. (J Occup Environ Med. 2009;51:943–950)

Keywords: Occupational Health, Employee Benefits, Health Risk Assessment, Wellness Programs, Health Risk Reduction Programs

JEL Classifications: K31, K32

Accepted Paper Series

Date posted: September 22, 2009 ; Last revised: September 22, 2009

Suggested Citation

Rothstein, Mark A., Health Risk Reduction Programs in Employer-Sponsored Health Plans: Part I - Efficacy (September, 18 2009). Journal of Occupational and Environmental Medicine, Vol. 51, No. 8, August 2009. Available at SSRN: http://ssrn.com/abstract=1475346


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Mark A. Rothstein (Contact Author)
University of Louisville - Institute for Bioethics, Health Policy, and Law ( email )
Louisville, KY 40202
United States
HOME PAGE: http://www.louisville.edu/bioethics
University of Louisville - Louis D. Brandeis School of Law ( email )
Wilson W. Wyatt Hall
Louisville, KY 40292
United States
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