Health care use and costs associated with use of a health club membership benefit in older adults with diabetes.


Journal Article

OBJECTIVE: The purpose of this study was to determine whether elective use of a health plan-sponsored health club membership had an impact on health care use and costs among older adults with diabetes. RESEARCH DESIGN AND METHODS: Administrative claims for 2,031 older adults with diabetes enrolled in a Medicare Advantage plan were obtained for this retrospective cohort study. Participants (n = 618) in the plan-sponsored health club benefit (Silver Sneakers [SS]) and control subjects (n = 1,413) matched on SS enrollment index date were enrolled in the plan for at least 1 year before the index date. Two-year health care use and costs of SS participants and control subjects were estimated in regressions adjusting for baseline differences. RESULTS: SS participants were more likely to be male, had a lower chronic disease burden, used more preventive services, and had a lower prevalence of arthritis (P or=2 SS visits/week in year 1 had lower total costs in year 2 ($2,141 [-$3,877 to -$405], P = 0.02) than participants who made <2 visits/week. CONCLUSIONS: Use of a health club benefit by older adults with diabetes was associated with slower growth in total health care costs over 2 years; greater use of the benefit was actually associated with declines in total costs.

Full Text

Duke Authors

Cited Authors

  • Nguyen, HQ; Maciejewski, ML; Gao, S; Lin, E; Williams, B; Logerfo, JP

Published Date

  • August 2008

Published In

Volume / Issue

  • 31 / 8

Start / End Page

  • 1562 - 1567

PubMed ID

  • 18458143

Pubmed Central ID

  • 18458143

Electronic International Standard Serial Number (EISSN)

  • 1935-5548

Digital Object Identifier (DOI)

  • 10.2337/dc08-0624


  • eng

Conference Location

  • United States