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The well-being valuation model: a method for monetizing the nonmarket good of individual well-being

机译:幸福评估模型:一种将个人幸福的非市场商品货币化的方法

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摘要

The objective of this research is to advance the evaluation and monetization of well-being improvement programs, offered by population health management companies, by presenting a novel method that robustly monetizes the entirety of well-being improvement within a population. This was achieved by utilizing two employers’ well-being assessments with medical and pharmacy administrative claims (2010–2011) across a large national employer (n = 50,647) and regional employer (n = 6170) data sets. This retrospective study sought to monetize both direct and indirect value of well-being improvement across a population whose medical costs are covered by an employer, insurer, and/or government entity. Logistic regression models were employed to estimate disease incidence rates and input–output modelling was used to measure indirect effects of well-being improvement. These methodological components removed the burden of specifying an exhaustive number of regression models, which would be difficult in small populations. Members who improved their well-being were less likely to become diseased. This reduction saved, per avoided occurrence, US$3060 of total annual health care costs. Of the members who were diseased, improvement in well-being equated to annual savings of US$62 while non-diseased members saved US$26. The method established here demonstrates the linkage between improved well-being and improved outcomes while maintaining applicability in varying populations.
机译:这项研究的目的是通过提出一种新颖的方法,通过人口健康管理公司提供的一种健壮的货币化方法,来促进人口健康管理计划的评估和货币化,从而将其整体货币化。这是通过在大型国家雇主(n = 50,647)和区域雇主(n = 6170)数据集中利用两个雇主的福利评估以及医疗和药学行政索赔(2010-2011)来实现的。这项回顾性研究旨在通过医疗,费用由雇主,保险公司和/或政府机构负担的人群,将福祉改善的直接和间接价值货币化。使用逻辑回归模型来估计疾病的发病率,并使用投入产出模型来衡量幸福感改善的间接影响。这些方法的组成部分消除了指定详尽的回归模型的负担,这在小规模人群中将是困难的。改善自己健康的会员患病的可能性较小。每次避免的发生,此节省节省了年度医疗总费用3060美元。在患病的成员中,福祉的改善相当于每年节省62美元,而未患病的成员则节省了26美元。此处建立的方法证明了改善的福祉和改善的结局之间的联系,同时保持了在不同人群中的适用性。

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