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.
From the Research and Policy Division, The MEDSTAT Group, Ann Arbor, Mich. (Dr Ozminkowski), Cambridge, Mass. (Dr Ling, Dr Wang), and Washington, D.C. (Dr Goetzel); and Johnson & Johnson (Ms Bruno, Ms Rutter, Dr Isaac).
Address correspondence to: Ronald J. Ozminkowski, PhD, Outcomes Research and Econometrics, The MEDSTAT Group, Inc, 777 East Eisenhower Parkway, 803R, Ann Arbor, MI 48108; firstname.lastname@example.org.