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Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults

INTRODUCTION: Our study was undertaken to determine the association between use of a health plan-sponsored health club benefit by older adults and total health care costs over 2 years. METHODS: This retrospective cohort study used administrative and claims data from a Medicare Advantage plan. Partic...

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Autores principales: Nguyen, Huong Q, Ackermann, Ronald T, Maciejewski, Matthew, Berke, Ethan, Patrick, Marsha, Williams, Barbara, LoGerfo, James P
Formato: Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248797/
https://www.ncbi.nlm.nih.gov/pubmed/18082003
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author Nguyen, Huong Q
Ackermann, Ronald T
Maciejewski, Matthew
Berke, Ethan
Patrick, Marsha
Williams, Barbara
LoGerfo, James P
author_facet Nguyen, Huong Q
Ackermann, Ronald T
Maciejewski, Matthew
Berke, Ethan
Patrick, Marsha
Williams, Barbara
LoGerfo, James P
author_sort Nguyen, Huong Q
collection PubMed
description INTRODUCTION: Our study was undertaken to determine the association between use of a health plan-sponsored health club benefit by older adults and total health care costs over 2 years. METHODS: This retrospective cohort study used administrative and claims data from a Medicare Advantage plan. Participants (n = 4766) were enrolled in the plan for at least 1 year before participating in the plan-sponsored health club benefit (Silver Sneakers). Controls (n = 9035) were matched to participants by age and sex according to the index date of Silver Sneakers enrollment. Multivariate regression models were used to estimate health care use and costs and to make subgroup comparisons according to frequency of health club visits. RESULTS: Compared with controls, Silver Sneakers participants were older and more likely to be male, used more preventive services, and had higher total health care costs at baseline. Adjusted total health care costs for Silver Sneakers participants and controls did not differ significantly in year 1. By year 2, compared with controls, Silver Sneakers participants had significantly fewer inpatient admissions (−2.3%, 95% confidence interval, −3.3% to −1.2%; P < .001) and lower total health care costs (−$500; 95% confidence interval, −$892 to −$106; P = .01]. Silver Sneakers participants who averaged at least two health club visits per week over 2 years incurred at least $1252 (95% confidence interval, −$1937 to −$567; P < .001) less in health care costs in year 2 than did those who visited on average less than once per week. CONCLUSION: Regular use of a health club benefit was associated with slower growth in total health care costs in the long term but not in the short term. These findings warrant additional prospective investigations to determine whether policies to offer health club benefits and promote physical activity among older adults can reduce increases in health care costs.
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spelling pubmed-22487972008-03-06 Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults Nguyen, Huong Q Ackermann, Ronald T Maciejewski, Matthew Berke, Ethan Patrick, Marsha Williams, Barbara LoGerfo, James P Prev Chronic Dis Original Research INTRODUCTION: Our study was undertaken to determine the association between use of a health plan-sponsored health club benefit by older adults and total health care costs over 2 years. METHODS: This retrospective cohort study used administrative and claims data from a Medicare Advantage plan. Participants (n = 4766) were enrolled in the plan for at least 1 year before participating in the plan-sponsored health club benefit (Silver Sneakers). Controls (n = 9035) were matched to participants by age and sex according to the index date of Silver Sneakers enrollment. Multivariate regression models were used to estimate health care use and costs and to make subgroup comparisons according to frequency of health club visits. RESULTS: Compared with controls, Silver Sneakers participants were older and more likely to be male, used more preventive services, and had higher total health care costs at baseline. Adjusted total health care costs for Silver Sneakers participants and controls did not differ significantly in year 1. By year 2, compared with controls, Silver Sneakers participants had significantly fewer inpatient admissions (−2.3%, 95% confidence interval, −3.3% to −1.2%; P < .001) and lower total health care costs (−$500; 95% confidence interval, −$892 to −$106; P = .01]. Silver Sneakers participants who averaged at least two health club visits per week over 2 years incurred at least $1252 (95% confidence interval, −$1937 to −$567; P < .001) less in health care costs in year 2 than did those who visited on average less than once per week. CONCLUSION: Regular use of a health club benefit was associated with slower growth in total health care costs in the long term but not in the short term. These findings warrant additional prospective investigations to determine whether policies to offer health club benefits and promote physical activity among older adults can reduce increases in health care costs. Centers for Disease Control and Prevention 2007-12-15 /pmc/articles/PMC2248797/ /pubmed/18082003 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Nguyen, Huong Q
Ackermann, Ronald T
Maciejewski, Matthew
Berke, Ethan
Patrick, Marsha
Williams, Barbara
LoGerfo, James P
Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults
title Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults
title_full Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults
title_fullStr Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults
title_full_unstemmed Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults
title_short Managed-Medicare Health Club Benefit and Reduced Health Care Costs Among Older Adults
title_sort managed-medicare health club benefit and reduced health care costs among older adults
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248797/
https://www.ncbi.nlm.nih.gov/pubmed/18082003
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