The predictive validity of the hero scorecard in determining future health care cost and risk trends

Ron Z. Goetzel, Rachel Mosher Henke, Richele Benevent, Maryam J. Tabrizi, Karen B. Kent, Kristyn J. Smith, Enid Chung Roemer, Jessica Grossmeier, Shawn T. Mason, Daniel B. Gold, Steven P. Noeldner, David R. Anderson

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


OBJECTIVE: To determine the ability of the Health Enhancement Research Organization (HERO) Scorecard to predict changes in health care expenditures. METHODS: Individual employee health care insurance claims data for 33 organizations completing the HERO Scorecard from 2009 to 2011 were linked to employer responses to the Scorecard. Organizations were dichotomized into "high" versus "low" scoring groups and health care cost trends were compared. A secondary analysis examined the tool′s ability to predict health risk trends. RESULTS: "High" scorers experienced significant reductions in inflation-adjusted health care costs (averaging an annual trend of -1.6% over 3 years) compared with "low" scorers whose cost trend remained stable. The risk analysis was inconclusive because of the small number of employers scoring "low." CONCLUSIONS: The HERO Scorecard predicts health care cost trends among employers. More research is needed to determine how well it predicts health risk trends for employees.

Original languageEnglish (US)
Pages (from-to)136-144
Number of pages9
JournalJournal of occupational and environmental medicine
Issue number2
StatePublished - Feb 2014
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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