Communities: Population Health Management
Value of Laboratory Tests in Employer-Sponsored HRAs for Newly Identifying Health Conditions
Employer-sponsored health risk assessments (HRA) may include laboratory tests to provide evidence of disease and disease risks for common medical conditions. We evaluated the ability of HRA-laboratory testing to provide new disease-risk information to participants.
Nearly all participants had access to health insurance coverage. Twenty-four percent (12,392) self-reported one or more of these medical conditions: 21.1 percent (11,017) self-identified as having hyperlipidemia, 4.7 percent (2,479) self-identified as having diabetes, and 0.7 percent (352) self-identified as having chronic kidney disease.
Overall, 36 percent (n = 18,540) of participants had laboratory evidence of at least one medical condition newly identified: 30.7 percent (16,032) had laboratory evidence of hyperlipidemia identified, 1.9 percent (984) had laboratory evidence of diabetes identified, and 5.5 percent (2,866) had laboratory evidence of chronic kidney disease identified.
Of all participants with evidence of hyperlipidemia 59 percent (16,030 of 27,047), were newly identified through the HRA. Among those with evidence of diabetes 28 percent (984 of 3,463) were newly identified.The highest rate of newly identified disease risk was for chronic kidney disease: 89 percent (2,866 of 3,218) of participants with evidence of this condition had not self-reported it. Men (39 percent) were more likely than women (33 percent) to have at least one newly identified condition (p<0.0001).
Among men, lower levels of educational achievement were associated with modestly higher rates of newly identified disease risk (p<0.0001); the association with educational achievement among women was unclear. Even among the youngest age range (20 to 29 year olds), nearly 1 in 4 participants (24 percent) had a newly identified risk for disease.
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