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Journal of Occupational & Environmental Medicine:
Original Articles

Long-Term Impact of Johnson & Johnson’s Health & Wellness Program on Health Care Utilization and Expenditures

Ozminkowski, Ronald J. PhD; Ling, Davina PhD; Goetzel, Ron Z. PhD; Bruno, Jennifer A. B.S.; Rutter, Kathleen R. B.A.; Isaac, Fikry MD, MPH; Wang, Sara PhD

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Abstract

The long-term impact of corporate health and wellness programs is largely unknown, because most evaluations focus on impact in just 1 or 2 years after program initiation. This project estimated the longer-term impact of the Johnson & Johnson Health & Wellness Program on medical care utilization and expenditures. Employees were followed for up to 5 years before and 4 years after Program implementation. Fixed-effects regression models were used to control for measurable and unmeasurable factors that may influence utilization and expenditures. Results indicated a large reduction in medical care expenditures (approximately $224.66 per employee per year) over the 4-year Program period. These benefits came from reduced inpatient use, fewer mental health visits, and fewer outpatient visits compared with the baseline period. Most benefits occurred in years 3 and 4 after Program initiation. We conclude that programs designed to better integrate occupational health, disability, wellness, and medical benefits may have substantial health and economic benefits in later years.

© 2002 Lippincott Williams & Wilkins, Inc.

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