Posts Tagged ‘HHS’

Secret RAND Report Trashes Employer ‘Wellness’ Programs

May 25th, 2013

A Reuters story by Sharon Begley discloses a report from RAND Corp. provided to the US Departments of Labor and Health and Human Services . The study finds only a modest benefit in wellness programs.

It states, “According to a report by researchers at the RAND Corp, programs that try to get employees to become healthier and reduce medical costs have only a modest effect. Those findings run contrary to claims by the mostly small firms that sell workplace wellness to companies ranging from corporate titans to mom-and-pop operations.

RAND delivered the congressionally mandated analysis to the U.S. Department of Labor and the Department of Health and Human Services last fall.

The report found, for instance, that people who participate in such programs lose an average of only one pound a year for three years.

In addition, participation “was not associated with significant reductions in total cholesterol level.” And while there is some evidence that smoking-cessation programs work, they do so only “in the short term.”

Most large U.S. employers believe the programs improve workers’ health and reduce or at least keep the lid on medical spending. “Companies from the CEO on down feel that these programs are bringing value,” said Maria Ghazal, a vice president at the Business Roundtable, the association of chief executives of big companies. “The criticism is surprising, because companies are not hearing that internally.”

Some experts not involved with the new report say even the modest benefits RAND found need qualification.

“The strongest predictor of whether someone will lose weight or stop smoking is how motivated they are,” said Al Lewis, founder and president of the Disease Management Purchasing Consortium International, which helps self-insured employers and state programs reduce healthcare costs. “Since the programs are usually voluntary, the most motivated employees sign up. That makes it impossible to credit the programs with success in smoking cessation or weight loss rather than the employees’ motivation.”

For its report, RAND collected information about wellness programs from about 600 businesses with at least 50 employees and analyzed medical claims collected by the Care Continuum Alliance, a trade association for the health and wellness industry.

Industry experts noted that whenever researchers analyze hundreds of programs, there are inevitably more effective and less effective ones.

“Traditional workplace wellness barely scratches the surface,” said Keith Lemer, president of WellNet, which provides programs to Cumulus Media, Viking Range Corp and the Charlie Palmer Group of restaurants, among others. “Done right, (the program) requires the integration of clinical data, wellness, health coaching, and work flow.” The initiatives succeed if they have “senior level support and a high-degree of employee engagement in healthy behaviors,” he said.

The report’s conclusions about the financial benefits of workplace wellness programs are also grim. In theory, the programs should reduce medical spending as employees become healthier and thereby avoid expensive conditions such as heart disease, cancer and stroke.

In fact, workers who participated in a wellness program had healthcare costs averaging $2.38 less per month than non-participants in the first year of the program and $3.46 less in the fifth year. Those modest savings were not statistically significant, meaning they could have been due to chance and not to the program.

More surprisingly, workplace wellness did not catch warning signs of disease or improve health enough to prevent emergencies. “We do not detect statistically significant decreases in cost and use of emergency department and hospital care” as a result of the programs, RAND found.

The RAND report was mandated by the Affordable Care Act, the healthcare reform law known as Obamacare. Two sources close to the report expected it to be released publicly this past winter. Reuters read the report when it was briefly posted online by RAND on Friday before being taken down because the federal agencies were not ready to release it, said a third source with knowledge of the analysis.”

This report comes amid a lobbying blitz by major Americans corporations to get tougher regulations from the Obama Administration, according to recent reports.

 

House Democrats Call On Administration to Dump Employer Wellness Regs

January 28th, 2013

Sam Baker of The Hill paper reports today that ranking Democrats on health committees in the House of Representatives have called on the Department of Health and Human Services to withdraw the proposed regulations on mandatory health-contingent wellness programs, as I did in my comments.

Doubts about food deserts don’t deter head of HHS

June 10th, 2012

The June 10th Washington Post has an insightful article on the federally-funded food desert initiative in Philadelphia. The article describes how an hypothesis (lack of access to healthy foods leads to eating unhealthy foods which leads to obesity) becomes a large experiment before research is done to determine if it is going to work. WaPo: Will Philadepphia’s experiment in eradicating food deserts

Last month, at the Weight of the Nation conference, Department of Health and Human Services Secretary Kathleen Sebelius took the hypothesis one step further elevating food deserts into a cause of obesity. She said, “Obesity can be caused by any combination of factors.  For some it’s an addiction like smoking.  For others it’s a lack of fresh fruits or vegetables near their home. “ This is pretty sloppy work for a conference so highly organized by the CDC and HHS. An addiction? Still being researched I believe. People are looking at whether certain foods may be “addictive” not whether excess adipose tissue itself is addictive. When a national health leader elevates putative causes like addiction and food deserts to actual causes, a disservice is done and real progress is delayed.