The Market for Wellness Programs and Their Impact on Pharmaceutical, Diagnostic and Device Product Markets

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Market	Healthcare and Medical
Report Type	Market Research
Country	Global
Published	1 October 2009
Number of Pages	200
Report Delivery	Email
Delivery Lead Time	-
Publisher	Kalorama Information
File Format	-

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.

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)

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

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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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