Outcomes Across the Value Chain for a Comprehensive Employee Health and Wellness Intervention: A Cohort Study by Degrees of Health Engagement.
Evaluate a large employer's wellness intervention by studying outcomes across the value chain, and testing Health Engagement's (HE) dose-response relationship to outcomes.



Evaluation included 37 measures across eight outcomes domains (OD) using repeated measures, analysis of variance and logistic regression.



Participants with higher HE had better pre-post percent changes than control: 1.7% higher for Motivation (OD1), 3.4% for Behavior (OD2), 1.0% for Emotion (OD3), 5.8% for Biometrics (OD4), 6.3% for Compliance (OD5), and 5.2% for Claims (OD6). They also had 0.5% less Productivity loss (OD7), and odds of Turnover (OD8) one-quarter to one-half that of control. A dose-response relationship with degrees of HE was also shown.



Three outcomes domains (OD6 to OD8) can be monetized for cost-benefit analysis. Authors recommend, however, staying focused on driving HE and using metrics from all OD to assess value.
H2U|Health to You, LLC, a Subsidiary of HCA (Dr Long, Mr Reed), Strategic Pricing & Analytics (Dr Long), Physician Services Group, HCA, Inc., Nashville, Tennessee (Mr Reed); and University of California Santa Barbara, Department of Statistics & Applied Probability (Mr Duncan).
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D004526:Efficiency; D005260:Female; D006264:Health Benefit Plans, Employee / Q000191:economics*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D016272:Occupational Health / Q000191:economics*; D055815:Young Adult