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Cost-Effectiveness of Health Coaching: An Integrative Review

Hale, Rachel BSN; Giese, Jeannie DNP, FNP-BC, PPCNP-BC

doi: 10.1097/NCM.0000000000000223

Purpose/Objectives: The purpose of this review was to evaluate published literature to distinguish how health coaching influences the cost of chronic disease management in insured adults with chronic conditions.

Primary Practice Setting: An integrated literature review was conducted. MEDLINE, Business Source Complete, and OneSearch were searched for the years 2001–2016 utilizing the following key words: health coaching, health coaching AND insurance companies, health coaching AND cost, health coaching AND health insurance, and health coaching AND insurance cost. A total of 67 articles met inclusion criteria and were assessed for applicability. Of those, 27 articles were found to be relevant to the research question. The practice settings of these articles are mostly primary care and wellness programs.

Findings/Conclusions: Throughout the literature, health coaching has been found effective in chronic disease management such as hypertension, diabetes, and hyperlipidemia. Studies evaluating the cost-effectiveness of health coaching are limited. The current literature does not clearly demonstrate that health coaching lowers expenditures and patient copayments in the short term but projects future savings.

Implications for Case Management Practice: Health coaching has the potential to improve chronic disease management and lower health care expenditures. Further long-term research is needed to evaluate the cost-effectiveness of health coaching. It has been projected that the cost-effectiveness of health coaching will be long-term or over 12 months after initiating the health coaching program.

Rachel Hale, BSN, RN, is a nurse in an emergency department in Nashville. She is in her final year of the BSN to DNP program at Belmont University. She has 3 years of experience as a registered nurse. Her experience includes emergency medicine and she is gaining knowledge in family practice.

Jeannie K. Giese, DNP, FNP-BC, PPCNP-BC, is an assistant professor at Belmont University in Nashville. She teaches in the MSN and DNP programs. She has 18 years of experience as a nurse practitioner. Her prior experience includes allergy, asthma, immunology, emergency medicine, pediatrics, and family practice.

Address correspondence to Rachel Hale, BSN, RN, 801 Allisona Road, Eagleville, TN 37060 (

The authors report no conflicts of interest.

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