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In a 2002 study of 135,000 current and retired employees of a large company, 44% of excess health care costs for individuals less than 45 years of age were affected by the presence of behavioral health risk factors [obesity, smoking, sedentary lifestyle, high blood pressure], with or without self-reported disease. For individuals aged 65 and over without self-reported disease, 8.2% of excess health care costs were affected by such factors. For those employees with self-reported diseases, the health care costs of those with diabetes mellitus and bronchitis/emphysemawere most affected by behavioral health risk factors, with excess health care costs of 19% and 21%, respectively. (p. 251)

Musich, S., McDonald, T., & Hirschland, D. (2002). Excess healthcare costs associated with excess health risks in diseased and non-diseased health risk appraisal participants. Disease Management and Health Outcomes, 10(4), 251-258.

135,251 current and retired employees of General Motors Corporation who had completed a Health Risk Appraisal were evaluated. Participants were continuously enrolled in traditional or PPO medical plans from 1996 to 1999.

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