Wednesday, February 28, 2018

Wellness programs aren't generating Medicare savings

By Virgil Dickson  | February 26, 2018

Seniors in wellness programs targeting obesity, falling and chronic conditions are not sparking healthcare spending decreases, according to a federal analysis released Friday.

The Affordable Care Act required the CMS conduct an independent evaluation of wellness programs that targeted various health conditions experienced by Medicare beneficiaries, and that study found no evidence of cost savings.

"Utilization and expenditures actually increased among (chronic-care management) program participants," the report said.

The findings are based on spending data for Medicare enrollees in fall prevention, weight loss and chronic care initiatives. The CMS followed beneficiaries one year after they joined a wellness program.

The results mirror those found in the corporate world, where companies are increasingly funding wellness programs meant to improve employees' health.

Corporate wellness spending hit $8 billion in 2016, up from $1 billion in 2011, according to researchers The Harris School of Public Policy at the University of Chicago.

Researchers have also found that these efforts have aided in employee retention, but not changes in employee behavior or cuts in healthcare spending.

Although the wellness programs didn't save money, the CMS found that Medicare enrollees in wellness programs were more aware of their mental health needs and had increased engagement with physicians and ancillary services.

"So, while it didn't reduce healthcare expense or utilization, it seems to have had a positive impact," said Steve Wojcik, vice president of public policy at National Business Group of Health. These programs "prevented or delayed normal deterioration that comes with age."

Wellness initatives also take time to become successful, according to Cheryl Larson, president and CEO at Midwest Business Group on Health.

Wellness programs "may or may not result in short-term outcomes, but if it helps identify one case of cancer or diabetes in at-risk populations, they can achieve positive outcomes down the road," Larson said.

Virgil Dickson reports from Washington on the federal regulatory agencies. His experience before joining Modern Healthcare in 2013 includes serving as the Washington-based correspondent for PRWeek and as an editor/reporter for FDA News. Dickson earned a bachelor's degree from DePaul University in 2007.

http://www.modernhealthcare.com/article/20180226/NEWS/180229934?utm_source=modernhealthcare&utm_medium=email&utm_content=20180226-NEWS-180229934&utm_campaign=am

2 comments:

  1. What you feel inside reflects on your face. So be happy and positive all the time.

    ReplyDelete
  2. Every member of the family needs to have a yearly check up just make sure they are healthy. A family doctor will also offer preventative care to help prevent family members from becoming sick or otherwise unhealthy. diabetes chick fil a

    ReplyDelete