Why Wellness
Unhealthy Employees Cost More
A study conducted by the Health Enhancement Research Organization
(HERO) examined more than 46,000 employees from across the
United States over a three-year period. This study concluded:
- Those with poor exercise habits had medical expenditures
that were 28% higher than those who had good exercise
habits.
- Individuals with the highest stress levels had
45% higher medical expenditures.
- Similarly, other early detectors of poor health were
also associated with higher medical expenditures –
notably: high blood pressure (24% higher), obesity (48%
higher), high blood sugar (54% higher), and multiple
risks for heart disease (228% higher).
Each of these conditions has been clearly linked to modifiable
health risk behaviors such as:
- Physical inactivity
- High stress
- Poor dietary habits
The Center for Medicaid Services projects a 220% increase
in health care costs in the next decade. Poor health costs
fall into two types: direct and indirect. Research has shown
that well-designed health and productivity management programs
can reduce both of these types of costs.
Employers’ median opportunity for direct health and
productivity cost savings is approximately $2600 per employee.1
Return on Investment (ROI) in worksite health promotion2

Direct Costs:
Indirect Costs:
- Absenteeism
- Presenteeism (on-the-job productivity)
- Worker's compensation
- Short and long-term disability
- Employee turnover
1 Goetzel RZ, et al. Health and
productivity management – establishing key benchmarks
and best practices. J Occup Environ Med. 2001;43:10-17
2 Medical and absenteeism costs are from Aldana
SG. Financial impact of health promotion programs: a comprehensive
review of the literature. Amer J. Health Prom 2001;15:296-320.
Presenteeism costs are an estimate based on published literature.
Prevention Is Your Top Producer
The Kellogg Report stresses that the long-term solution to
rising health care costs is prevention. Improved nutrition
alone was estimated to save $27.8 billion nationwide.
| Estimated Savings from Improved Nutrition
(by disease group) |
| Cancer |
$4.6 billion |
| Respiratory and infectious disease |
$1.4 billion |
| Arthritis |
$0.9 billion |
| Mental illness |
$1.4 billion |
| Alcoholism |
$14.5 billion |
| Heart and vascular disease |
$2.7 billion |
| Digestive disease |
$1.0 billion |
| Kidney and urinary disease |
$1.3 billion |
Source: Beasley J, Swift J: The Kellogg
Report. The Impact of Nutrition, Environment and Lifestyle
on the Health of Americans. 1989
|