title: The long-term health plan and disability cost benefit of obstructive sleep apnea treatment in a commercial motor vehicle driver population.
abstract: OBJECTIVE
  To assess the impact on health plan and disability costs associated with continuous positive airway pressure or bi-level positive airway pressure treatment of obstructive sleep apnea in a commercial motor vehicle driver population.
  
  
  METHODS
  A retrospective, pre/post claims-based comparison analysis was performed. Health plan and disability costs, in addition to disability claimant rates and missed workdays were compared for the 12 months before treatment to the 24 months after treatment.
  
  
  RESULTS
  Health plan costs were significantly lower in both the first and second years after treatment. Short-term disability metrics also exhibited favorable results, with approximately half as many using the benefit, lower costs, and fewer missed workdays in the postperiod.
  
  
  CONCLUSIONS
  Effective treatment of obstructive sleep apnea in drivers is associated with lower health care and disability costs and fewer missed workdays.
authors.affiliation: Waste Management, Houston, Tex, USA. bhhoffman@wm.com
authors.forename: Benjamin
authors.initials: B
authors.lastname: Hoffman
authors.forename: Dustin D
authors.initials: DD
authors.lastname: Wingenbach
authors.forename: Amy N
authors.initials: AN
authors.lastname: Kagey
authors.forename: Justin L
authors.initials: JL
authors.lastname: Schaneman
authors.forename: David
authors.initials: D
authors.lastname: Kasper
mesh_terms: D000328:Adult; D001334:Automobile Driving; D003132:Commerce; D003362:Cost-Benefit Analysis; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007345:Insurance Claim Review; D007348:Insurance, Health / Q000191:economics*; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration; D012189:Retrospective Studies; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D014481:United States