Abstract

BackgroundHealth and wellbeing initiatives vary in effectiveness due to programme design and offerings. The Partnership for Prevention programme expands access to up to 40 evidence-based clinical preventive services for all employees and eligible family members as part of a unique global health initiative.MethodsUsing a published RAND Europe model developed for the company, country-level return on investment was estimated over a five-year timeframe using programme utilisation data. Regional, global, and service-level averages were estimated using population-weighted country averages. Data were collected from 2012 to 2018 and analysed in 2018.ResultsThe programme is estimated to generate a global return of $4.28–$11.88 (after cost of investment), based on analysis of 57 countries and nearly 125,000 delivered services. Returns were positive for all regions, and immunisations, smoking cessation, and cardiovascular treatment generated the largest individual service returns.ConclusionsThis global health programme is projected to generate a significant return on investment by focusing on global utilisation of clinical preventive services.

Highlights

  • Health and wellbeing initiatives vary in effectiveness due to programme design and offerings

  • This study focuses on measures of effectiveness for the Partnership for Prevention (P4P) programme, return on investment (ROI) to the company, based on modelled health outcomes and actual utilisation data from individual countries for the period 2012–2018

  • Data collection Data are anonymised by the local P4P administrator, which is a third-party selected to deliver or manage the clinical preventive services

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Summary

Introduction

Health and wellbeing initiatives vary in effectiveness due to programme design and offerings. A subsequent RAND Corporation brief with data from one employer over ten years showed per-dollar investment returns of $3.80 for disease management programmes, $0.50 for lifestyle management programmes, and $1.50 overall, noting lifestyle management programmes take longer to realise returns [5]. Another large compilation highlights programme differences and urged employers to consider the goals and organisational culture, emphasising adaptation of best practices to maximize positive results [6]. Execution may involve significant effort and complexity, and all programmes may not show a positive or significant return, given they are not effortless and simple solutions

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