Posts Tagged ‘Health Care Costs’
One of the most feared health problems the aging Baby Boomer generation will face is dementia. And it won’t just affect those suffering from mental decline but also those who care for them and society at large, at least in financial terms.
A new study predicts that healthcare costs in connection with age-related dementia, such as Alzheimer’s disease, will soon surpass almost all other medical expenses, including for heart disease and cancer, two of today’s leading causes of death.
The study, which was conducted by economists at the RAND Corporation and sponsored by the federal government, found that expenditures for dementia patients will at least double by 2040.
3.8 million Americans age 71 and older are now diagnosed with some form of age-related cognitive decline. In another generation, the researchers say, there will be over 9 million.
Direct healthcare costs, including nursing home care, per dementia patient run currently between $41,000 and $56,000 a year. Total expenses in the United States in 2010, the year the study collected its data, ranged from $159 billion to 215 billion. It is projected that these numbers will increase to well over $500 billion annually by mid-century.
Not included in these calculations are the costs of what is considered “informal care,” which is usually provided by family members and voluntary caregivers. It is hard to put a price tag on their efforts, but the study estimates a total of $50 billion to $106 billion spent per year.
“The long-term care costs associated with people with dementia are particularly high because of the nature of the disease,” said Donald Moulds, assistant secretary for planning and evaluation at the Department of Health and Human Services (HHS), in an interview with the New York Times. “People eventually become incapable of caring for themselves, and then in the vast majority of cases, their loved ones become incapable of caring for them.”
So far, there is no cure or effective treatment for dementia. However, there are numerous studies suggesting that certain preventive measures may be helpful, at least in terms of delaying or slowing the debilitating effects.
For instance, certain health and lifestyle factors associated with the risk of Alzheimer’s disease can be controlled, according to the National Institutes of Health (NIH). Scientists are exploring whether prevention strategies like physical exercise, diet and intellectual stimulation can counteract deterioration. Controlling body weight and blood pressure are among the most common recommendations experts give in this regard. Also, keeping the brain engaged by constant learning and participating in a lively social environment are thought to be helpful.
Unfortunately, most of this is guesswork. The truth is that we don’t know why dementia is so dramatically on the rise. Is the reason that we live longer, that we eat the wrong foods, that we exercise too little, that we watch too much TV, that we find ourselves increasingly isolated as we grow older – all of the above and more? We don’t know.
Still, we cannot sit idly and ignore the facts. In any case, adherence to a healthy lifestyle will do no harm. We may not find out the specific causes, if there are any, and there may not be an effective treatment available for the foreseeable future.
But in the meantime, we can and should do everything in our power to stay as healthy and active as possible for as long as we can. A good way of going about that is to satisfy all our health needs in every aspect by eating right, exercising regularly, reducing stress, getting enough sleep, nursing relationships, reading books, learning foreign languages and computer programs and so forth. Not one but all of these together make for what I have called the “pillars of our wellbeing.” Until there are better options, that’s all we can do, and that’s not nothing.
Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com. For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com). You can follow Timi on Facebook, Twitter and Pinterest
More and more companies are enrolling their workforce in health and wellness programs to cut staggering health care costs, reduce absenteeism and foster productivity as well as morale and loyalty, according to several studies on recent changes in employer-based health care policies. There is a fast growing interest in taking preventive measures such as promoting weight control, physical activity and cessation of tobacco use, not only among big corporations but also small and mid-size businesses.
Lifestyle-related (and therefore preventable) illnesses make up approximately 80 percent of the burden of health care costs for companies and 90 percent of all health care costs, according to one study.
Health and wellness incentives have long been considered a luxury only large corporations can afford, not a strategic imperative for all businesses to keep ever-increasing health care costs at bay, say the authors of a study published in the Harvard Business Review. That view is rapidly changing.
There is no shortage of examples where investments in employees’ social, mental and physical health has paid off. For instance, Johnson & Johnson has estimated that their wellness program, which started out in 1995, saved the company about $250 million in health care costs over a decade, according to the report.
Despite of these encouraging case studies, many wellness programs continue to evolve and companies are still trying to figure out exactly how or if their initiatives affect their bottom line, according to analyses by business insurance companies.
To be sure, not all employees welcome these programs in their place of work. Sometimes additional incentives such as reductions in premiums and co-payments and other cash bonuses are needed to get them to join.
A few employers have begun requiring health risk assessments and biometric screening for their workers to qualify for health care coverage, a step some may consider an undue intrusion in their private affairs.
Experts warn against an antagonistic climate around the issue of health in the workplace. Employers should design their policies and programs around the needs of their employees, advises Judith A. Monroe, MD, State Health Commissioner of Indiana. If there are a number of smokers in a company, offering cessation counseling may be important. If weight problems are of concern, access to exercise and nutrition programs could be provided.
“One of the components that is key to the overall success of wellness programs is the development of a culture of health within the organization,” says Dr. Steven Noelder, a consultant with Total Health Management in Newport Beach, California. “Not only do you need top-down support, you also need support at the grassroots level.” In other words, only when everyone feels that the measures taken are in his or her own best interest can health and wellness programs produce the desired outcome and make a difference for the better.
Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog, “Food and Health with Timi Gustafson R.D.”, and at amazon.com. You can follow Timi on Twitter and on Facebook.