Currently Viewing:
The American Journal of Managed Care January 2016
Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?
Adam J. Rose, MD, MSc; Ciaran S. Phibbs, PhD; Lauren Uyeda, MA; Pon Su, MS; Robert Edson, MA; Mei-Chiung Shih, PhD; Alan Jacobson, MD; and David B. Matchar, MD
Currently Reading
Improving Engagement in Employer-Sponsored Weight Management Programs
Bruce W. Sherman, MD, and Carol Addy, MD, MMSc
Care Pathways in US Healthcare Settings: Current Successes and Limitations, and Future Challenges
Anita Chawla, PhD; Kimberly Westrich, MA; Susanna Matter, MBA, MA; Anna Kaltenboeck, MA; and Robert Dubois, MD, PhD
The Introduction of Generic Risperidone in Medicare Part D
Vicki Fung, PhD; Mary Price, MA; Alisa B. Busch, MD, MS; Mary Beth Landrum, PhD; Bruce Fireman, MA; Andrew A. Nierenberg, MD; Joseph P. Newhouse, PhD; and John Hsu, MD, MBA, MSCE
Effects of Continuity of Care on Emergency Department Utilization in Children With Asthma
Shu-Tzu Huang, MS; Shiao-Chi Wu, PhD; Yen-Ni Hung, PhD; and I-Po Lin, PhD
Outcomes Trends for Acute Myocardial Infarction, Congestive Heart Failure, and Pneumonia, 2005-2009
Chapy Venkatesan, MD; Alita Mishra, MD; Amanda Morgan, MD; Maria Stepanova, PhD; Linda Henry, PhD; and Zobair M. Younossi, MD
Factors Related to Continuing Care and Interruption of P4P Program Participation in Patients With Diabetes
Suh-May Yen, MD, PhD; Pei-Tseng Kung, ScD; Yi-Jing Sheen, MD, MHA, Li-Ting Chiu, MHA; Xing-Ci Xu, MHA; and Wen-Chen Tsai, DrPH
Oral Anticoagulant Discontinuation in Patients With Nonvalvular Atrial Fibrillation
Sumesh Kachroo, PhD; Melissa Hamilton, MPH; Xianchen Liu, MD, PhD; Xianying Pan, MS; Diana Brixner, PhD; Nassir Marrouche, MD; and Joseph Biskupiak, PhD, MBA
Value-Based Insurance Designs in the Treatment of Mental Health Disorders
Alesia Ferguson, PhD; Christopher Yates, BA; and J. Mick Tilford, PhD

Improving Engagement in Employer-Sponsored Weight Management Programs

Bruce W. Sherman, MD, and Carol Addy, MD, MMSc
The impact and value of employer-sponsored weight management programs can be enhanced by acknowledging and addressing individual well-being concerns as more immediate personal priorities.

As with patient–provider interactions in the clinical space, employers may want to consider reframing their weight management efforts in the context of a broader and longer-term well-being strategy. For example, biometric data may highlight the opportunity for effective weight management initiatives at the population level. Cross-tabulation data may provide additional insight into population-level factors associated with high BMI and inform employer opportunities to address identified concerns. Further, aggregate health risk assessment or other employee survey data may reveal opportunities for organization-level changes regarding workplace policies, practices, or other sources of stress that may serve as barriers to employee engagement in health-related offerings, including weight management programs. Instead of amalgamating a series of “quick fix” tactics into an ineffective “solution,” employers may be wise to establish a broader framework that highlights an overarching and long-term commitment to workforce well-being and that seeks to identify and address the barriers to achieving this objective.

There is a substantial gap in the current employer approach to weight management that overlooks nonclinical “symptoms” related to well-being issues, many of which are not physical health concerns. A growing research literature base offers support for incorporating well-being considerations as a means to improve the effectiveness of individual engagement in existing health management efforts, including weight management. Accordingly, employers, plan sponsors, or other entities with weight management programs may want to ensure that resources are available to effectively address personal well-being priorities more broadly rather than limiting focus to physical health concerns. By so doing, they may clear the path for greater individual engagement in available weight management offerings, and realize greater value from their investments in these programs.

 Author Affiliations: Case Western Reserve University School of Medicine (BWS), Cleveland, OH; Employers Health Coalition (BWS), Shaker Heights, OH; HMR Weight Management Services Corporation (CA), Boston, MA.

Source of Funding: None.

Author Disclosures: Dr Sherman has been a consultant for Takeda, Sanofi, and Celgene; he is also employed as the medical director of Buck Consultants at Xerox. He has received lecture fees for speaking at the invitation of a commercial sponsor, including Merck and Abbvie, and has attended meetings held by Integrated Benefits Institute, HERO Health, National Business Group on Health, National Business Coalition on Health, and World Congress. Dr Addy is employed by HMR Weight Management Services Corporation, a subsidiary of Merck & Co, Inc.

Authorship Information: Concept and design (BWS, CA); drafting of the manuscript (BWS, CA); critical revision of the manuscript for important intellectual content (BWS, CA); administrative, technical, or logistic support (BWS).

Send correspondence to: Bruce W. Sherman, MD, Employers Health Coalition, 3175 Belvoir Blvd, Shaker Heights, OH 44122. E-mail: bruce.sherman@case.edu.
REFERENCES

1. Large Employers’ 2015 Health Plan Design Survey. Washington, DC: National Business Group on Health; 2015.

2. Nyce S. Boosting wellness participation without breaking the bank. Towers Watson website. http://www.towerswatson.com/en-US/Insights/Newsletters/Americas/insider/2010/boosting-wellness-participation-without-breaking-the-bank. Published July 2010. Accessed March 2, 2015.

3. Employer health benefits: 2014 annual survey. Kaiser Family Foundation website. http://www.kff.org/health-costs/report/2014-employer-health-benefits-survey. Published September 10, 2014. Accessed April 28, 2015.

4. The consumer health mindset. Aon website. http://www.aon.com/forms/2014/AH-US_2014_sur_consumer-health-mindset.html. Published February 17, 2014. Accessed February 26, 2015.

5. LaMontagne C. NerdWallet Health finds medical bankruptcy accounts for majority of personal bankruptcies. NerdWallet website. http://www.nerdwallet.com/blog/health/2014/03/26/medical-bankruptcy. Published March 26, 2014. Accessed April 28, 2015.

6. WHO definition of health. World Health Organization website. http://www.who.int/about/definition/en/print.html. Accessed February 26, 2015.

7. O’Boyle E, Harter J. Why your workplace wellness program isn’t working. Gallup website. http://www.gallup.com/businessjournal/168995/why-workplace-wellness-program-isn-working.aspx. Published May 13, 2014. Accessed April 28, 2015.

8. Lewis A, Khanna V, Montrose S. Employers should disband employee weight control programs. Am J Manag Care. 2015;21(2):e91-e94.

9. Gabel JR, Whitmore H, Pickreign J, et al. Obesity in the workplace: current programs and attitudes among employers and employees. Health Aff (Millwood). 2009;28(1):46-56.

10. Bachrach D, Pfister H, Wallis K, Lipson M; Manatt Health Solutions. Addressing patients’ social needs: an emerging business case for provider investment. The Commonwealth Fund website. http://www.commonwealthfund.org/publications/fund-reports/2014/may/addressing-patients-social-needs. Published May 29, 2014. Accessed February 26, 2015.

11. Atlas SJ, Grant RW, Ferris TG, Chang Y, Barry MJ. Patient-physician connectedness and quality of primary care. Ann Intern Med. March 2009;150(5):325-335.

12. Cooper LA, Roter DL, Carson KA, et al. A randomized trial to improve patient-centered care and hypertension control in underserved primary care patients. J Gen Intern Med. 2011;26(11):1297-1304.

13. Stover DR, Wood J. Most company wellness programs are a bust. Gallup website. http://www.gallup.com/businessjournal/181481/company-wellness-programs-bust.aspx. Published February 4, 2015. Accessed February 26, 2015.

14. Fidelity Benefits Consulting and National Business Group on Health. Taking Action to Improve Employee Health: sixth annual employer-sponsored health & well-being survey. National Business Group on Health website. https://www.businessgrouphealth.org/pub/29d50202-782b-cb6e-2763-a29a9426f589. Published March 25, 2015. Accessed December 2015.

15. Cahill K, Perera R. Competitions and incentives for smoking cessation. Cochrane Database Syst Rev. 2011;4:CD004307.

16. Jeffery RW. Financial incentives and weight control. Prev Med. 2012;55(suppl):S61-S67.

17.   Halperin SD, French B, Small DS, et al. Randomized trial of four financial-incentive programs for smoking cessation. N Engl J Med. 2015;372(22):2108-2117.

18. Patel M, Asch D, Troxel A, Wexby L, et al. Workplace wellness incentives for weight loss - a randomized, controlled trial. Abstract presented at: AcademyHealth conference; Minneapolis, MN; June 15, 2015. https://academyhealth.confex.com/academyhealth/2015arm/meetingapp.cgi/Paper/2998.x. Accessed January 2016.

19.  Sherman BW, Frazee SG, Fabius RJ, Broome RA, Manfred JR, Davis JC. Impact of workplace health services on adherence to chronic medications. Am J Manag Care. 2009;15(7):e53-e59.
PDF
 
Copyright AJMC 2006-2017 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!