The impact of health risks on medical expenses

Excess health risks contribute to employer costs

Financial costs due to excess health risks among active employees of a utility company. Yen L, Schultz A, Schnueringer E, Edington DW. J Occup Environ Med. 2006. 48: 896-905.

Aim

To determine the excess medical costs associated with employees having multiple health risk factors.

Looked at

4,226 employees, of whom 49% had completed a health risk appraisal (HRA).

How?

Calculated excess costs as the difference in average annual costs between HRA participants with low-risk status, and those with medium or high-risk status.

Risk criteria

i) Low risk – 0-2 health risk factors
ii) Medium risk – 3-4 health risk factors
iii) High risk – 5 ≥ health risk factors

Results

  • 56% of total excess costs (US$1.8 million of $3.2 million) were due to medium and high-risk individuals.
  • 44% ($1.4 million) were due to high-risk HRA participants.

What does this mean?

Individuals with excess health risks significantly contribute to excess costs due to absenteeism, medical, and pharmacy claims.