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Caregiving Employees’ Health Problems Can Cost U.S. Companies a Potential $13.4 Billion Yearly

Caregivers Are More Likely to Report Health Problems

February 02, 2010 09:03 AM Eastern Time
WESTPORT, Conn.--(EON: Enhanced Online News)--If you are responsible for taking care of an elderly relative or friend, it will likely impact your health and your employer’s bottom line. Employees in the U.S. who are caring for an older relative are more likely to report health problems like depression, diabetes, hypertension or heart disease, costing employers an estimated average additional health care cost of 8% per year, or $13.4 billion annually, according to the MetLife Study of Working Caregivers and Employer Health Care Costs. The report, produced by the MetLife Mature Market Institute® with the National Alliance for Caregiving in conjunction with the University of Pittsburgh Institute of Aging, also found that younger caregivers (ages 18 to 39) cost their employers 11% more for health care than non-caregivers, while male caregivers cost an additional 18%. It also found that eldercare may be closely associated with high-risk behaviors like smoking and alcohol consumption. Exacerbating the potential impact to employers is the possibility that these medical conditions may also lead to disability-related absences.


“While this news may be distressing, our research points out that coordination of eldercare services and wellness initiatives may open new avenues of innovation to benefit both employees and employers”
Proportional Increase in Medical Care Costs and Caregiver Status
                    Non-Caregivers         Caregivers
Condition         Cost         Prevalence         Weighted
Cost         Prevalence         Weighted
Cost
Depression         $725         6.8%         $4,930         8.8%         $6,380
Depression + Cardiovascular
Conditions and/or Diabetes         $1,082         1.8%         $1,948         3.8%         $4,112
Hypertension         $910         11.2%         $10,192         15.2%         $13,832
Hypertension +
Coronary Artery Disease         $7,914         1.9%         $15,037         3.8%         $30,073
Diabetes         $3,187         3.9%         $12,429         4.7%         $14,979
Other conditions         $1,269         74.5%         $94,541         63.7%         $80,835
Total                             $139,076                   $150,211
Proportional Cost Increase                                                 8%
The MetLife report was drawn from an analysis of 17,000 employees of a major multinational U.S. corporation who completed health risk assessment questionnaires (HRA). Twelve percent were caregivers for an older person.

“While this news may be distressing, our research points out that coordination of eldercare services and wellness initiatives may open new avenues of innovation to benefit both employees and employers,” said Sandra Timmermann, Ed.D., director of the MetLife Mature Market Institute. “Employers can provide support to their employees and, at the same time, reduce their health care costs by anticipating and responding to the challenges of eldercare.”

According to Gail Hunt, president and CEO of the National Alliance for Caregiving, “Caregivers have more unplanned absences. Their performance on the job is also compromised by a lack of focus on their work due to distractions, like phone calls and care coordination, that occupy their time. They need solutions so they can be healthier and perform better.”

Additional study findings:

Among particular employee segments, some are particularly at risk. Younger caregivers (18 to 39 years old) demonstrated significantly higher rates of cholesterol, hypertension, COPD, depression, kidney disease, and heart disease in comparison to non-caregivers of the same age.
Employed caregivers find it more difficult than non-caregivers to take care of their own health or participate in preventive health screenings. For example, women caregivers were less likely to report annual mammograms than non-caregivers.
Employees with eldercare responsibilities were more likely to report missed days of work. Overall, 10% of caregivers missed at least one day of work over the past two weeks because of health issues compared to 9% of non-caregivers. Differences were mostly driven by the much higher absenteeism among younger caregiving employees, age 18 to 39.
To meet the health care needs of caregivers while reducing the associated costs, employers should consider integrating their wellness and eldercare programs. In addition to practices like flexible hours, paid time off (PTO) and telecommuting, the report contains suggestions to connect their employees who are caregivers with wellness programs that will reduce their stress, positively impact their health and provide needed support. These include stress-reduction seminars expanded to include on-site yoga and exercise classes, relaxation techniques and massage therapy, decision-support systems providing information about available services, financial incentives to encourage participation in preventive benefits offered by employers (like premium reductions for those who obtain annual physicals, mammograms, Pap tests, smoking cessation classes, and exercise), expanded on-site medical screenings, and free legal and financial advice, especially pertaining to Medicare, Medicaid, and insurance.

Methodology

Data in the MetLife Study of Working Caregivers and Employer Health Care Costs is from a single corporate employer based in the northeastern U.S. The company is a leading manufacturer with offices and affiliates worldwide, but the report was limited to 17,000 employees in 20 states who completed the company’s online health risk appraisal questionnaire (HRA), a voluntary, anonymous document. An independent company developed and processed the appraisal, which is also used to establish benchmarks for health care and occupational safety. The study limited analyses to standard HRA indicators of disease status, health behaviors and socio-demographic information. Participating employees were representative of the company’s U.S. workforce with proportionate numbers of blue-collar (manufacturing) and white-collar (sales and management) workers.

National Alliance for Caregiving

The National Alliance for Caregiving is dedicated to providing support to family caregivers and the professionals who help them and to increasing public awareness of issues facing family caregivers. Established in 1996, The National Alliance for Caregiving is a non-profit coalition of national organizations focusing on issues of family caregiving.

University of Pittsburgh Institute on Aging

The Institute on Aging is an umbrella organization for aging research at the University of Pittsburgh. The Institute collaborates with The University Center for Social & Urban Research (UCSUR) which focuses on regional economic analysis and forecasting, the psychosocial impacts of adult development and aging, intergenerational relations, and environmental resource management, and the Department of Behavioral and Community Health Sciences (BCHS) at the Graduate School of Public Health which promotes understanding of social and behavioral factors that influence the health of populations, with a particular focus on evaluation of health programs and policies.

The MetLife Mature Market Institute®

Established in 1997, the Mature Market Institute (MMI) is MetLife's research organization and a recognized thought leader on the multi-dimensional and multi-generational issues of aging and longevity. MMI's groundbreaking research, gerontology expertise, national partnerships, and educational materials work to expand the knowledge and choices for those in, approaching, or caring for those in the mature market.

MMI supports MetLife's long-standing commitment to identifying emerging issues and innovative solutions for the challenges of life. MetLife, Inc. (NYSE: MET), through its subsidiaries and affiliates, is a leading provider of insurance, employee benefits and financial services with operations throughout the United States and the Latin American, Europe and Asia Pacific regions.

For more information about the MMI, please visit: www.maturemarketinstitute.com.

The MetLife Study of Working Caregivers and Employer Health Care Costs can be downloaded from www.maturemarketinstitute.com; on the home page, see “New from the MMI.” It can also be ordered by e-mailing maturemarketinstitute@metlife.com or by writing to: MetLife Mature Market Institute, 57 Greens Farms Road, Westport, CT 06880.

Contacts

DJC Communications
Debra Caruso, 212-907-0051
debra@djccommunications.com
or
MetLife
Shalana Morris, 212-578-1115
snmorris@metlife.com


Who Are the Older Caregivers Caring for Older Loved Ones?
 
Drs. Donna Wagner and Emiko Takagi of Towson University reviewed data from the new national caregiver survey, Caregiving in the U.S. (National Alliance for Caregiving in collaboration with AARP), to examine trends and key findings for caregivers of persons 50+, with an emphasis on the older caregivers themselves.  They also made selected comparisons with the 1997 and 2004 NAC/AARP surveys.  Although each survey consists of a unique sample, there are questions that are consistent across the three surveys and an operational definition of “caregiver” that is used in the screening to ensure that respondents are representative of the same caregiving population.
 
 
Some findings with interesting policy and program implications:
The percentage of older caregivers caring for individuals 85+ has increased across all three surveys, from approximately one-quarter of care recipients to one-third.
Parent care is the primary caregiving situation for mid-life caregivers--70% of caregivers between the ages of 50 and 64.
While caring for a spouse continues to be the most commonly reported care situation for caregivers 75+, the 2009 study suggests that a substantial number of people in this age group are involved in caring for a friend or neighbor (20%), a parent (20%) or a sibling (18%). This new finding is likely a factor of older adults relying on peers for the help they need.
Yet, caregivers themselves who are 75+ are most likely to report that they have no help from relatives, friends or other informal source--no peer support.
 
The National Center on Caregiving (NCC) at Family Caregiver Alliance (FCA) recently released "Making the Case: Saving Your State's Caregiver Support Programs."
For over a year, states have been struggling with one of the deepest recessions on record.  One casualty of this economic downturn is caregiver support programs. Across the country, budgets for publicly funded caregiver support programs are among those not only reduced, but threatened with further cuts or elimination as the economy promises to get worse.  Now with the new year upon us, most states are starting the budget process for the next fiscal year – governors are proposing budgets and legislators are trying to figure out how to balance their budgets with a mixture of spending cuts and new taxes.
This paper is intended to help advocates, program administrators, service providers and caregivers fight for their state and local caregiver support programs.  It includes background information, statistics, talking points and a list of additional resources to help make the case for maintaining public funding for crucial caregiver support services.

You can download "Making the Case" here:
http://caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2367