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 Without



If 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

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 THREE 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

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