title: A 3-year assessment of the effects of a self-administered health risk assessment on health care utilization, costs, and health risks.
abstract: OBJECTIVE
  This study examines the effect of taking a health risk assessment (HRA) on health care costs, utilization, and member health risks over a 3-year period.
  
  
  METHODS
  This retrospective cohort study examined changes utilization, costs, and health risks among a random sample of 500 employees completing an HRA compared with a matched group of 500 employees who did not complete an HRA.
  
  
  RESULTS
  The HRA group accessed services more frequently and at a lower overall cost, was more likely to utilize primary care and preventive services after the HRA, and improved on seven out of eight health risk measures.
  
  
  CONCLUSIONS
  This study demonstrates that significant and sustained improvement in health risks and lower health care costs may be achievable with efforts such as an HRA that seeks to engage employees in health improvement efforts.
authors.affiliation: From the Department of Family Medicine (Dr Sieck), The Ohio State University College of Medicine, Columbus; and Division of Health Services Management and Policy (Dr Dembe), Center for Health Outcomes, Policy and Evaluation Studies, The Ohio State University College of Public Health, Columbus.
authors.forename: Cynthia J
authors.initials: CJ
authors.lastname: Sieck
authors.forename: Allard E
authors.initials: AE
authors.lastname: Dembe
mesh_terms: D000328:Adult; D005260:Female; D015438:Health Behavior; D017048:Health Care Costs; D006293:Health Promotion; D006801:Humans; D008297:Male; D016272:Occupational Health; D011314:Preventive Health Services / Q000191:economics / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000191:economics / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors