Researchers at Cleveland Clinic Target Managed Care (Effect of Health Plan Financial Incentive Offering on Employees with Prediabetes)

Insurance Weekly News

By a News Reporter-Staff News Editor at Insurance Weekly News -- Researchers detail new data in Managed Care. According to news reporting out of Cleveland, Ohio, by VerticalNews editors, research stated, "Prediabetes may be improved or reversed with lifestyle interventions. A worksite wellness program offering financial incentives for participation may be effective in improving the health of employees with prediabetes."

Financial support for this research came from Agency for Healthcare Research and Quality.

Our news journalists obtained a quote from the research from Cleveland Clinic, "We studied the effect of employee health plan financial incentives on health outcomes for employees with prediabetes. We conducted a retrospective cohort study using electronic medical record data from January 2008 to December 2012. Our study participants were employees with prediabetes and propensity-matched non-employees with prediabetes and commercial health insurance, all receiving care within one health system. Exposures included fixed annual financial incentives for program participation and later a premium discount divided between program participation and achievement of goals. We used longitudinal linear mixed models to assess yearly changes in glycosylated hemoglobin (HbA1c), weight, and low-density lipoprotein cholesterol in employees versus non-employees. We also compared outcomes of employees by everversus never-program participant status. Our study population included 1005 employees and 1005 matched non-employees. The yearly reduction in HbA1c for employees versus matched non-employees did not differ in 2008-2010 but was greater in 2010-2012, when incentives were tied to program participation as well as achievement of goals (-0.10% vs -0.08 %, respectively; P for difference in change [DIC] = .01 from 2010 to 2012). Analyses from both periods showed that employees lost more weight per year than matched non-employees (-1.85 vs -0.21 lb [1 lb = 0.45 kg] from 2008 to 2010; P for DIC < .001 and -2.35 vs -0.65 lb from 2010 to 2012; P for DIC <.001). Employees who participated in disease management lost more weight than those who did not (-2.14 vs 0.79 lb yearly before 2010 and -2.82 vs -0.91 after January 1, 2010, P for DIC < .01 and < .001, respectively)."

According to the news editors, the research concluded: "A worksite wellness program offering health plan financial incentives for participation and outcomes was associated with improvements in weight and HbA1c."

For more information on this research see: Effect of Health Plan Financial Incentive Offering on Employees with Prediabetes. American Journal of Medicine, 2018;131(3):293-299. American Journal of Medicine can be contacted at: Elsevier Science Inc, 360 Park Ave South, New York, NY 10010-1710, USA. (Elsevier - www.elsevier.com; American Journal of Medicine - www.journals.elsevier.com/american-journal-of-medicine/)

Our news journalists report that additional information may be obtained by contacting A.D. Misra-Hebert, Cleveland Clinic, Dept. of Quantitat Hlth Sci, Cleveland, OH 44195, United States. Additional authors for this research include B. Hu, P.H. Le and M.B. Rothberg.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.amjmed.2017.09.024. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Keywords for this news article include: Cleveland, Ohio, United States, North and Central America, Investment and Finance, Health and Medicine, Managed Care, Cleveland Clinic.