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Study: CDHPs improve health habits, lower costs

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disease management programs
WellPoint
preventative care
Consumer-driven health plans (CDHP)
incentives
Wal-Mart

When CDHPs offer health promotion and wellness incentives, they can succeed in making a positive impact on members' health behaviors, according to a newly-released study by insurance brokerage and consulting firm Aon. The study analyzed plans provided by South Africa's Discovery Health and subsidiaries, including U.S.-based Destiny Health, covering more than two million lives.

Among other conclusions, the study found that monetary, vacation and merchandise rewards for desirable behavior like seeking preventative care proved to be quite motivating. The plans found that in cases of chronic illness, offering first-dollar coverage for medications kept down costs, as well as providing incentives for completing disease management programs. The group also found that members managed to consume less care while attaining lower claims and hospital admissions. Given this group's insurance industry affiliation, color me skeptical, as the industry has much to gain in rolling out another rapidly-growing product line. Give me a study conducted by a completely independent party suggesting that CDHPs don't encourage the poor to stay sick, and then I'll be pretty impressed.

Learn more about this research:
- read the Aon press release
- review the Aon research brief

Related Articles:
CDHP advocates play high-stakes game. Report
Wal-Mart switches to CDHPs. Report
Wellpoint rolls out massive CDHP offering. Report

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Finally, a media person -- be it editor or publisher or writer -- who gets it! As a 20-year veteran of the healthcare and industrial and sports medicine industries, health policy analyst and strategist, and medcial risk management consultant, I am aware of myriad shortcomings as regards Consumer-Directed Health Plans -- and the incentives for insurance entities to push them. I am in the process of designing and conducting a survey/ study that is 100-percent independent and free of any bias and financial conflicts of interest. My null hypothesis is congruent with this editor's commentary. FYI: I am writing a book on health costs...what the public doesn't know and has no way of knowing, is that CDHP doesn't benefit them. What is interesting about your article is that America's CDHPs do not enable persons to use monies for wellness...only for healthcare, and regardless of how healthcare industry providers and suppliers market themselves don't believe the hype: prevention is not what the healthcare system is structured for or capable of delivering. Its "prevention" is actually treatment and control. Big difference. Who pays the price? We all do, especially large employers. My independent study will not please the industry...but it will open the eyes of those who are paying the price. I applaud your outstanding perspective and lucid -- cynical yet rightly so -- account. Fighting health costs and health quality issues requires parties not unlike you and myself...able to look deeper and read between the lines, to discern usable truth from manufactured information and marketing hype.

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