Aphorisms by

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Aphorisms by
Paul B. Handel M.D. Vice President, Chief Medical
Officer
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Its Really Not AboutMoney

• BUT

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Prevalence of Behavioral Risk Factors in the US
Workforce
Source NHIS 2005 (alcohol, smoking)
NHANES 1999-2002 (exercise)
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General Health Statistics
Economic Health and Burden of Chronic Disease
a2000, b2002, c2003. Categories may
overlap. Direct Costs Costs that can be traced
to or identified with a specific product or
procedure. Indirect Costs Costs that cannot
specifically be traced to an individual service
or procedure. Source Centers for Disease
Control and Prevention, 2004d
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(No Transcript)
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50 of All Cancer DeathsCould Be Avoided By

• Stopping smoking
• Eating healthy

American Cancer Society WSJ April 6,2006
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• Increased life expectancy
• Increased economic value

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• 1 decrease in death due to cancer equals
• 500 billion in value

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• 1.5 Trillion per year

Kevin Murphy, U o Chicago Graduate School of
Business WSJ,Sept 25,2005
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Risk for Developing Obesity

• Tracked 4,117 peoplenormal weight
• 30 to 59 years old
• 1971 to 2001

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Within 4 Years

• 14 to 19 females and
• 26 to 30 males overweight
• 5 to 9 of both became obese

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Within 30 Years

• 50 became overweight
• Approximately 1/3 females and1/4 males
• Became obese!

Vasan, R.S.,Annals of Intern. Med.2005143473-48
0
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Number of Obese Adults in Texas by Age Group
2000 to 2040
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Costs of Obesity to US Business

• 8 Billion Healthcare costs
• 2.4 Billion Paid sick leave
• 1.8 Billion Life Insurance
• 1 Billion Disability

Department of HHS, 2003
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Hidden Costs of Obesity toUS Business

• 30 Million lost work days
• 239 Million restricted activity days
• 90 Million bed days
• 63 Million physician visits

Obesity Research, 1998
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Medicare

• Spending on obesitywill increase from
• 2.6 GDP to
• 9.2 in 2050!

Rand Institution health policy forum Oncology
Times Jan 10,2006
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An ounce of health is worth a pound
(actually,1.75 pounds) of healthcare!
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Our resources would be better directed towards
improving efforts to prevent illness and manage
chronic ailments like diabetes and heart disease.

• David Goodman, MD
• Health Affairs, March/April, 2006

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Published Research Supports Quantifiable ROI
Rates for Wellness Programs
Return on Investment (Per dollar ROI for
lifestyle programs)

• Some employers and brokersunfamiliar with ROI
  researchexpressed that one of the impediments to
  adding affinity/discount programs was a reported
  lack of ROI capability or the ability to see an
  immediate benefit
• Without a method for calculating ROI, employers
  report that affinity/discount programs just add
  another operating cost
• In fact, the preponderance of relevant literature
  speaks to positive ROI for health promotion
  programs
• Most experts estimate that it takes 3 years for
  ROI to begin, with nearly unanimous reports of
  positive ROI
• The T.E. Brennan Companys ROI assessment serves
  as an example of the published research which
  quantifies the impact of wellness programs

Source Healthcare Costs Worry Employees, Oct.
31, 2005, Messenger-Inquirer Employee Health
Promotion Programs What is the Return on
Investment?, Wisconsin Public Health Health
Policy Institute, Sept. 2005 HR Magazine.
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Readiness to Change

• Habit is habit, and notto be flung out of
  thewindow, but coaxed downstairsa step at a
  time.
• Mark Twain