Description
At their most basic level, wellness programs represent an attempt to encourage good health and thereby decrease utilization of health care products and services. They have evolved out of necessity from the current U.S. health care system, in response to a variety of factors including continually rising costs of care and declining quality of life.
A Comprehensive Look at the ‘Wellness’ Industry
Utilization of wellness programs in the United States has experienced strong recent growth this is expected to continue through the forecast period. As more people participate in wellness programs, their usage of various health care products and services will be affected, as well the revenues of wellness program providers.
This report looks at the emerging wellness industry and estimates the market for wellness related products and services. This portion of the report examines:
- Drivers of Wellness Services
- Utilization Statistics
- Major Companies and Offerings
- Current Wellness Program Market Size
- Innovative Approaches
- Results of Programs
- General Trends (Weak U.S. Economy, Postponing of Retirement, EMR, Rising Interest in Anti-Aging)
- Industry Trends
- (Internet-Based Wellness Programs, Usage of Financial Incentives, Emergence of Retail Clinics)
A Report No Pharmaceutical, Device or Testing Product Marketer Should Be WithoutIf wellness programs are effective, there should be an impact on all healthcare industries: pharmaceuticals, devices and diagnostics. Positive impact for some, negative for others. As part of Kalorama’s unique analysis on this topic, this report also takes a look at how the popularity of wellness programs will effect other markets. The report estimates the positive or negative sales impact of wellness programs upon established U.S. markets for various health care products and services including:
- Allergy Medicines
- Cholesterol Reducers
- Diabetes Drugs
- Gastrointestinal Medications/Proton Pump Inhibitors
- Hypertension Medicines
- Over-the-Counter (OTC) Medicines
- Influenza Vaccines
- Cervical Cancer Vaccines
- Diagnostic Tests
- Cardiovascular, Gastric Banding, and other Devices
- Surgeries,
- Imaging
- Other Medical Services
Within each of these market segments, products, services and/or sub-segments were selected that will particularly be affected by wellness programs. Products, services and/or sub-segments that are not expected to be significantly impacted were not included.Sales estimates for each market segment represent U.S. revenues and are expressed in current dollars. Estimates are provided for the historic 2004 – 2008 period and forecasts are provided through 2013. Historical information for this report was gathered from a wide variety of published sources including company reports and filings, government documents, legal filings, trade journals, newspapers and business press, analysts’ reports and other sources. Interviews with company representatives and other experts were conducted to capture the perspectives from industry participants’ point of view and assess trends, and form the basis of the forecasting and competitive analysis.
Because this industry is extremely fragmented, with thousands of providers offering many different types of programs tailored to different patient populations, an effort was made to include a broad representation of groups. Companies profiled include:
- Aetna
- Azente Wellness
- Cigna
- Coleman Wellness Solutions
- ConnectiCare
- Corporate Wellness
- ConvergenceHealth
- CuraLinc Healthcare
- Dynamic Wellness
- Employee Health Management Systems
- Hawaii Medical Assurance Association
- incentaHEALTH
- KC Wellness
- Kersh Risk Management.
- Kronos Optimal Health Company
- Mayo Clinic Health Solutions
- MedHealth Solutions
- MO Healthnet
- Multicare Health System
- National Corporate Wellness.
- Nuvita
- PATH
- Physicians Medical Group of Santa Cruz County
- Preventure
- Professional Health Services
- Pure Wellness
- Summit Health..
- San Francisco Wellness Initiative
- US Corporate Wellness
- Wellness Advantage
- Wellness Corporate Solutions
- Wellness Works
- Wyoming State Wellness Program
Table of Contents
TABLE OF CONTENTS
CHAPTER ONE: EXECUTIVE SUMMARY
- Wellness Programs And Their Impact on U.S. Healthcare Markets
- Scope and Methodology
- Introduction
- The U.S. Health Care System
- High Cost of Care
- Wellness Programs
- Wellness Program Economics
- Key Healthcare Markets Impacted by Wellness Programs
- Total Effects
- Prescription Medicines
- OTC Medicines
- Adult Vaccines
- Clinical Diagnostic Tests
- Medical Devices
- Medical Services
- Wellness Programs market
- Market Size
- Issues and Trends
CHAPTER TWO: INTRODUCTION
- The U.S. Health Care System Today
- Health Care Populations
- Public Health Care
- Private Health Care
- The Uninsured and Underinsured
- The High Cost of Care
- Out of Pocket Health care Expenditures
- Quality Costs
- Health Care Reform
- Universal Federal Health Care Coverage
- State Health Care Coverage
- Costs Related To A Lack Of Wellness
- Direct Cost Savings from Illness Prevention
- Indirect Cost Savings from Improved Productivity
- Wellness Programs
- Program Goals
- Target Populations
- Expectant Mothers
- Senior Citizens
- The Obese
- Persons with Chronic Conditions
- Arthritis
- Cardiovascular Disease
- Diabetes
- Lung Disease
- Osteoporosis
- Types of Programs
- Program Sponsors
- Program Administrators
- Components of Wellness Programs
- Wellness Program Best Practices
- Program Economics
- Costs of Running a Wellness Program
- Savings in Health care Expenses
- Current Utilization
- Drivers and Restraints
- Program Sponsors
- Program Participants
CHAPTER THREE: KEY HEALTH CARE MARKETS IMPACTED BY WELLNESS PROGRAMS
- Prescription Medicines
- Allergy Medicines
- Effects of Wellness Programs on Utilization
- Allergy Drug Revenues Lost to Wellness Programs, 2004-2013
- Cholesterol Reducers
- Effects of Wellness Programs on Utilization
- Cholesterol Reducer Revenues Lost to Wellness Programs, 2004-2013
- Diabetes Drugs
- Effects of Wellness Programs on Utilization
- Diabetes Drug Revenues Lost to Wellness Programs, 2004-2013
- Gastrointestinal Medications/Proton Pump Inhibitors
- Effects of Wellness Programs on Utilization
- Gastrointestinal Drug/PPI Revenues Lost to Wellness Programs, 2004-2013
- Hypertension Medicines
- Effects of Wellness Programs on Utilization
- Hypertension Drug Revenues Lost to Wellness Programs, 2004-2013
- Other Prescription Medicines
- Total Effect on Prescription Medicines
- Non-Prescription Medicines
- Allergy Medicines
- Effects of Wellness Programs on Utilization
- OTC Allergy Remedy Revenues Gained From Wellness Programs, 2004-2013
- Blood Glucose Testing Products
- Effects of Wellness Programs on Utilization
- OTC Blood Glucose Testing Revenues Gained From Wellness Programs, 2004-2013
- Gastrointestinal Medications
- Effects of Wellness Programs on Utilization
- OTC Gastrointestinal Drug Revenues Gained From Wellness Programs, 2004-2013
- Smoking Cessation Products
- Effects of Wellness Programs on Utilization
- OTC Smoking Cessation Product Revenues From Wellness Programs, 2004-2013
- Weight Loss Products
- Effects of Wellness Programs on Utilization
- OTC Weight Loss Drug Revenues Gained From Wellness Programs, 2004-2013
- Other Non-Prescription Medicines
- Total Effect on Non-Prescription Medicines
- Adult Vaccines
- Influenza
- Effects of Wellness Programs on Utilization
- Influenza Vaccine Revenues Gained From Wellness Programs, 2004-2013
- Cervical Cancer
- Effects of Wellness Programs on Utilization
- Cervical Cancer Vaccine Revenues Gained From Wellness Programs, 2004-2013
- Other Vaccines
- Total Effect on Vaccines
- Clinical Diagnostic Tests
- Point of Care Tests
- Effects of Wellness Programs on Utilization
- POC Test Sales Gained from Wellness Programs, 2004-2013
- Clinical Chemistry and Immunoassay Tests
- Effects of Wellness Programs on Utilization
- Clinical Chemistry and Immunoassay Test Sales Gained from Wellness Programs, 2004-2013
- Other Types of Clinical Diagnostic Tests
- Total Effect on Clinical Diagnostic Tests
- Medical Devices
- Cardiovascular Devices
- Effects of Wellness Programs on Utilization
- Cardiovascular Device Revenues Lost to Wellness Programs, 2004-2013
- Gastric Banding Devices
- Effects of Wellness Programs on Utilization
- Gastric Banding Device Revenues Lost to Wellness Programs, 2004-2013
- Other Medical Devices
- Total Effect on Medical Devices
- Medical Services
- Surgical Interventions
- Effects of Wellness Programs on Utilization
- Surgical Intervention Revenues Lost to Wellness Programs, 2004-2013
- Diagnostic Imaging
- Effects of Wellness Programs on Utilization
- Medical Imaging Revenues Lost to Wellness Programs, 2004-2013
- Other Medical Services
- Total Effect on Medical Services
- Total Effects of Wellness Programs
- Total Health Care Industry
- Impact of Wellness Programs
- Segment Contribution
- Trends Over Time
CHAPTER FOUR: WELLNESS PROGRAMS MARKET
- Program Provider Revenues
- Issues and Trends
- Weak U.S. Economy
- Postponing of Retirement
- Internet-Based Wellness Programs
- Usage of Financial Incentives
- Electronic Medical Records
- Declining Public Health
- Pressure to Democratize Wellness
- Rising Interest in Anti-Aging
- Emergence of Retail Clinics
CHAPTER FIVE: PROVIDER PROFILES
- Aetna
- History and Lines of Business
- Financial Information
- Wellness Programs
- Azente Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- Cigna
- History and Lines of Business
- Financial Information
- Wellness Programs
- Coleman Wellness Solutions
- History and Lines of Business
- Financial Information
- Wellness Programs
- ConnectiCare
- History and Lines of Business
- Financial Information
- Wellness Programs
- Corporate Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- ConvergenceHealth
- History and Lines of Business
- Financial Information
- Wellness Programs
- CuraLinc Healthcare
- History and Lines of Business
- Dynamic Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- Employee Health Management Systems
- History and Lines of Business
- Financial Information
- Wellness Programs
- Hawaii Medical Assurance Association
- History and Lines of Business
- Financial Information
- Wellness Programs
- incentaHEALTH
- History and Lines of Business
- Financial Information
- Wellness Programs
- Infinite Wellness Solutions
- History and Lines of Business
- Financial Information
- Wellness Programs
- KC Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- Kersh Risk Management
- History and Lines of Business
- Financial Information
- Wellness Programs
- Kronos Optimal Health Company
- History and Lines of Business
- Financial Information
- Wellness Programs
- Mayo Clinic Health Solutions
- History and Lines of Business
- Financial Information
- Wellness Programs
- MedHealth Solutions
- History and Lines of Business
- Financial Information
- Wellness Programs
- MO Healthnet
- History and Lines of Business
- Financial Information
- Wellness Programs
- Multicare Health System
- History and Lines of Business
- Financial Information
- Wellness Programs
- National Corporate Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- Nuvita
- History and Lines of Business
- Financial Information
- Wellness Programs
- PATH
- History and Lines of Business
- Financial Information
- Wellness Programs
- Physicians Medical Group of Santa Cruz County
- History and Lines of Business
- Financial Information
- Wellness Programs
- Preventure
- History and Lines of Business
- Financial Information
- Wellness Programs
- Professional Health Services
- History and Lines of Business
- Financial Information
- Wellness Programs
- Pure Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- San Francisco Wellness Initiative
- History and Lines of Business
- Financial Information
- Wellness Programs
- Summit Health
- History and Lines of Business
- Financial Information
- Wellness Programs
- US Corporate Wellness
- History and Lines of Business
- Financial Information
- Wellness Programs
- Wellness Advantage
- History and Lines of Business
- Financial Information
- Wellness Programs
- Wellness Corporate Solutions
- History and Lines of Business
- Financial Information
- Wellness Programs
- Wellness Works
- History and Lines of Business
- Financial Information
- Wyoming State Wellness Program
- History and Lines of Business
- Financial Information
- Wellness Programs
TABLE OF EXHIBITS
CHAPTER TWO: INTRODUCTION
- Figure 2-1: National Health Expenditures (NHE) and NHE as a Percent of GDP, 1980-2017
- Figure 2-2: Premium Increases vs. Increases in Workers Earnings and Prices, 1989-2008
- Figure 2-3: Consumer Out of Pocket Expenditures per Worker, 2003-2013
- Figure 2-3: Unnecessary Deaths Resulting From Variations in Health Care Quality, 2008
- Table 2-1: U.S. Health Care Coverage by State, 2009
- Figure 2-4: U.S. Costs for Illness Treatment and Prevention, 1980-2017
- Table 2-2: Obesity in the United States, 1980-2013
- Table 2-3: Common Diseases of the Lungs, 2009
CHAPTER ONE: KEY HEALTH CARE MARKETS IMPACTED BY WELLNESS PROGRAMS
- Table 3-1: Effect of Wellness Programs on Key U.S. Health care Markets
- Table 3-2: U.S. Rx Allergy Drug Sales and Impact of Wellness Programs, 2004 -2013
- Table 3-3: Types of Cholesterol Reducing Medications and Their Effect
- Table 3-4: U.S. Rx Cholesterol Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-5: U.S. Diabetes Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-6: U.S. Rx Gastrointestinal/PPI Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-7: U.S. Rx Hypertension Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-8: Total U.S. Rx Drug Sales and Impact of Wellness Programs on Selected Drug Groups, 2004-2013
- Figure 3-1: Impact of Wellness Programs on Selected Rx Drug Groups, 2004-2013
- Table 3-9: U.S. OTC Allergy Remedy Sales and Impact of Wellness Programs, 2004-2013
- Table 3-10: U.S. Blood Glucose Testing Sales and Impact of Wellness Programs, 2004-2013
- Table 3-11: U.S. OTC Gastrointestinal Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-12: U.S. OTC Smoking Cessation Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-13: U.S. OTC Weight Loss Drug Sales and Impact of Wellness Programs, 2004-2013
- Table 3-14: Total U.S. OTC Drug Sales and Impact of Wellness Programs on Selected Drug Groups, 2004-2013
- Figure 3-2: Impact of Wellness Programs on Selected OTC Drug Groups, 2004-2013
- Table 3-15: U.S. Influenza Vaccine Sales and Impact of Wellness Progress 2004-2013
- Table 3-16: U.S. Cervical Cancer Vaccine Sales and Impact of Wellness Programs, 2004-2013
- Table 3-17: U.S. Vaccine Sales and Impact of Wellness Programs, 2004-2013
- Figure 3-3: Impact of Wellness Programs on Vaccine Sales, 2004-2013
- Table 3-18: U.S. POC Test Sales and Impact of Wellness Programs, 2004-2013
- Table 3-19: U.S. Clinical Chemistry and Immunoassay Test Sales and Impact of Wellness Programs, 2004-2013
- Table 3-20: U.S. Clinical Test Sales and Impact of Wellness Programs, 2004-2013
- Figure 3-4: Impact of Wellness Programs on Clinical Diagnostic Tests, 2004-2013
- Table 3-21: U.S. Cardiovascular Device Sales and Impact of Wellness Programs on Selected Drug Groups, 2004-2013
- Table 3-22: U.S. Gastric Banding Device Sales and Impact of Wellness Programs, 2004-2013
- Table 3-23: Selected U.S. Medical Device Sales and Impact of Wellness Programs, 2004-2013
- Figure 3-5: Impact of Wellness Programs on Medical Devices, 2004-2013
- Table 3-24: U.S. Surgical Intervention Revenues and Impact of Wellness Programs, 2004-2013
- Table 3-25: U.S. Medical Imaging Revenues and Impact of Wellness Programs, 2004-2013
- Table 3-26: Selected U.S. Medical Service Revenues and Impact of Wellness Programs, 2004-2013
- Figure 3-6: Impact of Wellness Programs on Medical Services, 2004-2013
- Table 3-27: Total U.S. Health Care Market Revenues, 2004-2013,
- Figure 3-7: Total U.S. Health Care Market, by Segment, 2008
- Figure 3-8: Total U.S. Health Care Market, by Segment, 2013
- Table 3-28: U.S. Health Care Revenues Lost or Gained from Wellness Programs, 2004-2013
- Figure 3-9: U.S. Health Care Revenues Lost or Gained from Wellness Programs, by Segment, 2004-2013
- Figure 3-10: Total Effect on U.S. Health Care Revenues Lost or Gained from Wellness Programs, by Segment, 2004 – 2013
- Table 3-29: Growth of Total U.S. Health Care Revenues and Revenues Lost or Gained from Wellness Programs, 2004-2013
- Figure 3-11: Annual U.S. Health Care Industry Growth vs. Growth of Lost or Gained Revenues from Wellness Programs, by Segment, 2004-2008
- Figure 3-12: Annual U.S. Health Care Industry Growth vs. Growth of Lost or Gained Revenues from Wellness Programs, by Segment, 2008-2013
CHAPTER FOUR: WELLNESS PROGRAMS MARKET
- Table 4-1: U.S. Wellness Programs Market, 2004-2013
- Figure 4-1: U.S. Spending on Wellness Programs as a Proportion of Total Spending on Health Care Prevention, 2004-2013
- Table 4-2: Effect on Wellness Programs of Industry Trends
CHAPTER FIVE: PROVIDER PROFILES
- Table 5-1: Aetna’s Revnue and Net Earnings, 2006-2008
- Table 5-2: Cigna’s Revnue and Net Earnings, 2006-2008
