Cost-effectiveness of workplace wellbeing programs: evidence and necessity for developing a detailed methodology
https://doi.org/10.15829/1728-8800-2025-4622
EDN: PNQJYE
Abstract
Workplace wellbeing programs are a crucial reserve for increasing life expectancy and ensuring national economic security. Therefore, this area is in focus of state policy, which has been reflected, among other things, within the National Project "Long and Active Life". However, there is a noted lack of methodological approaches to determining the economic efficiency of workplace wellbeing programs. This hampers an increase in coverage of working population with preventive measures, since economic arguments are necessary to enhance employers' motivation to invest in employees’ health. This review presents methods for assessing the economic effectiveness of workplace wellbeing programs used by organizations in foreign countries, whose results may be ambiguous. Given the development of methodical base for strengthening health at workplaces, including those within the National Projects, the authors present herein rationale for developing methodology on economic efficiency of workplace wellbeing programs, as well as outline future methodology framework.
About the Authors
A. V. KontsevayaRussian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
A. A. Antsiferova
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
M. I. Kashutina
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990; st. Profsoyuznaya.d. 27, bld. 2, Moscow, 117418; st. Akademika Pavlova, d. 22, Moscow, 111123
M. M. Shakirov
Russian Federation
st. Achinskaya, 9, room. 4004, Tomsk, 634003
O. M. Drapkina
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
References
1. Skripkina EV, Yakovlev NA, Shalimov IV, et al. Assessment of the relationship between demographic indicators and the economic development of Russia. Vestnik Altajskoj akademii ekonomiki i prava. 2024;(4-3):488-93. (In Russ.) doi:10.17513/vaael.3451.
2. Active Ageing Policy Concept: Scientific and Methodological Report for XXI April International Scientific Conference on Economic and Social Development, Moscow, 2020. Edited by LN Ovcharova, MA Morozova, OV Sinyavskaya; National Research University Higher School of Economics. M.: Publishing house of the Higher School of Economics, 2020. — 40 р. (In Russ.) ISBN: 978-5-7598-2173-1 (в обл.). ISBN: 978-5-7598-2070-3 (e-book).
3. Ivanova, AE, Vangorodskaya, SA. Active longetivity: concept definition, key determinants and contradictions. Management Issues. 2024;18(3):38-51. (In Russ.) doi:10.22394/2304-3369-2024-3-38-51.
4. Popova LA, Zorina EN. Implementing active aging in the labor sphere (case study of the Komi Republic). Economic and Social Changes: Facts, Trends, Forecast. 2020;13(2):143-56. (In Russ.) doi:10.15838/esc.2020.2.68.9.
5. Afanasiev KS, Filatov JuV. Conditions and success factors of entrepreneurial projects involving persons of pre-retirement age. Economics of the new world. 2021;6:1(20):18-32. (In Russ.) doi:10.35231/25419501_2021_1_18.
6. Kim H, Song Lee B. Aging workforce, wages, and productivity: Do older workers drag productivity down in Korea? The Journal of the Economics of Ageing. 2023;24:100444. doi:10.1016/j.jeoa.2023.100444.
7. Viviani CA, Bravo G, Lavallière M, et al. Productivity in older versus younger workers: A systematic literature review. Work. 2021;68(3):577-618. doi:10.3233/WOR-203396.
8. Samarskaya NA. Labor occupational safety in the modern Russian economy: directions and development trends. Russian Journal of Labor Economics. 2023;10(11):1739-58. (In Russ.) doi:10.18334/et.10.11.119502.
9. Drapkina OM, Kontsevaya AV, Antsiferova AA, et al. Model corporate programs and practices for improving employee health. Guidelines for the development, implementation and evaluation of the effectiveness of corporate programs. M.: ROPNIZ, OOO "Silicea-Poligraf", 2025; p. 226. (In Russ.) ISBN: 978-5-6054371-0-9. doi:10.15829/ROPNIZ-k15-2025. EDN: HKCOQT.
10. Rocco L, Fumagalli E, Mirelman AJ, et al. Mortality, morbidity and economic growth. PLoS ONE. 2021;16(5):e0251424. doi:10.1371/journal.pone.0251424.
11. Cen ST, Yan WH. Economic Growth, People's Livelihood Preferences of Local Governments and Residents' Health. Front Public Health. 2022;10:844015. doi:10.3389/fpubh.2022.844015.
12. Grossmeier J, Mangen DJ, Terry PE, Haglund-Howieson L. Health risk change as a predictor of productivity change. J Occup Environ Med. 2015;57(4):347-54. doi:10.1097/JOM.0000000000000408.
13. Asay GR, Roy K, Lang JE, et al. Absenteeism and Employer Costs Associated With Chronic Diseases and Health Risk Factors in the US Workforce. Prev Chronic Dis. 2016;13:E141. doi:10.5888/pcd13.150503.
14. Berman M, Crane R, Seiber E, et al. Estimating the cost of a smoking employee. Tob Control. 2014;23(5):428-33. doi:10.1136/tobaccocontrol-2012-050888.
15. Sullivan T, Edgar F, McAndrew I. The hidden costs of employee drinking: A quantitative analysis. Drug Alcohol Rev. 2019; 38(5):543-53. doi:10.1111/dar.12935.
16. Zhidkova EA, Gutor EM, Tkachenko YuA, et al. COVID-19: economic aspects of influenza vaccine prevention. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2021;(2):16-21. (In Russ.) doi:10.37489/2588-0519-2021-1-16-21.
17. Tarro L, Llauradó E, Ulldemolins G, at al. Effectiveness of Workplace Interventions for Improving Absenteeism, Productivity, and Work Ability of Employees: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Environ Res Public Health. 202014;17(6):1901. doi:10.3390/ijerph17061901.
18. Grossmeier J, Fabius R, Flynn JP, et al. Linking Workplace Health Promotion Best Practices and Organizational Financial Performance: Tracking Market Performance of Companies with Highest Scores on the HERO Scorecard. J Occup Environ Med. 2016;58(1):16-23. doi:10.1097/JOM.0000000000000631.
19. Kontsevaya AV, Antsiferova AA, Kalinina AM, et al. Review of domestic experience in implementing corporate health promotion programs aimed at correcting behavioral risk factors. Russian Journal of Preventive Medicine. 2021;24(1):109-17. (In Russ.) doi:10.17116/profmed202124011109.
20. Popovich MV, Manshina AV, Kontsevaia AV, et al. Corporate worker health promotion programs — Review of foreign publications. Russian Journal of Preventive Medicine. 2020;23(3):156-61. (In Russ.) doi:10.17116/profmed202023031156.
21. Ustinova OYu, Vorobyeva AA, Leshkova IV, et al. Workplace wellness programs as a basis for protection workforce and prolongation of work life expectancy (literature review). Health care of the Russian Federation. 2024;68(6):511-7. (In Russ.) doi:10.47470/0044-197X-2024-68-6-511-517.
22. Molodchik NA, Sosnina PO. Well-being program: Russian practices. UPIRR. 2023;12(1):57-62. (In Russ.) Молодчик Н. А., Соснина П. О. Программа well-being: Российские практики. УПИРР. 2023;12(1):57-62. doi:10.12737/2305-7807-2023-12-1-57-62.
23. Rybakov IA. Is it possible to build an effective program to improve the health and well-being of personnel in the workplace in Russia? Chief Physician. 2021;(8):46-57. (In Russ.) EDN: KZQKUT.
24. Kamardina TV, Popovich MV, Oussova EV, et al. Methodological aspects of setting goals and objectives in corporate health promotion programs. Russian Journal of Preventive Medicine. 2023; 26(3):7-13. (In Russ.) doi:10.17116/profmed2023260317.
25. Antsiferova AA, Kontsevaya AV, Ivanova ES, et al. Digital technologies in corporate health promotion programs: international and domestic experience. Russian Journal of Preventive Medicine. 2023;26(11):116-21. (In Russ.) doi:10.17116/profmed202326111116.
26. Vargas-Martínez AM, Romero-Saldaña M, De Diego-Cordero R. Economic evaluation of workplace health promotion interventions focused on Lifestyle: Systematic review and meta-analysis. J Adv Nurs. 2021;77(9):3657-91. doi:10.1111/jan.14857.
27. Aldana SG, Merrill RM, Price K, et al. Financial impact of a comprehensive multisite workplace health promotion program. Prev Med. 2005;40(2):131-7. doi:10.1016/j.ypmed.2004.05.008.
28. Kontsevaya AV, Antsiferova AA, Ivanova ES, et al. Presenteeism as a cause of employer’s economic losses: development of evaluation methodology and approbation in the Atria online tool. Medical Technologies. Assessment and Choice. 2022; 44(4):34-41. (In Russ.) doi:10.17116/medtech20224404134.
29. Boyce I, DeVoe J, Norsen L, et al. The Financial Impact of an Employee Wellness Program Focused on Cardiovascular Disease Risk Reduction. Healthcare (Basel). 2024;12(23):2358. doi:10.3390/healthcare12232358.
30. Unsal N, Weaver G, Bray JW, et al. Return on Investment of Workplace Wellness: Evidence From a Long-Term Care Company. Workplace Health Saf. 2021;69(2):81-90. doi:10.1177/2165079920953052.
31. Kim SK, Lee J, Lee J, et al. Health and economic impact of a smoking cessation program in Korean workplaces. Health Promot Int. 2022;37(3):daac063. doi:10.1093/heapro/daac063.
32. Bonatesta L, Palermi S, Sirico F, et al. Short-term economic evaluation of physical activity-based corporate health programs: a systematic review. J Occup Health. 2024;66(1):uiae002. doi:10.1093/joccuh/uiae002.
33. Fitzgerald S, Murphy A, Kirby A, et al. Cost-effectiveness of a complex workplace dietary intervention: an economic evaluation of the Food Choice at Work study. BMJ Open. 2018;8: e019182. doi:10.1136/bmjopen-2017-019182.
34. Musich S. An Evaluation of the Well at Dell Health Management Program: Health Risk Change and Financial Return on Investment. Am J Health Promot. 2015;29(3):147-57. doi:10.4278/ajhp.131115-QUAN-582.
35. Caloyeras JP, Liu H, Exum E, at al. Managing manifest diseases, but not health risks, saved PepsiCo money over seven years. Health Aff (Millwood). 2014;33(1):124-31. doi:10.1377/hlthaff.2013.0625.
36. Unsal N, Weaver G, Bray J, et al. A Scoping Review of Economic Evaluations of Workplace Wellness Programs. Public Health Reports. 2021;136;6;671-84. doi:10.1177/0033354920976557.
37. Thonon F, Godon-Rensonnet AS, Perozziello A, at al. Return on investment of workplace-based prevention interventions: a systematic review. Eur J Public Health. 2023;33(4):612-8. doi:10.1093/eurpub/ckad092.
38. van Holland BJ, Reneman MF, Soer R, at al. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers. J Occup Rehabil. 2018;28(1):107-20. doi:10.1007/s10926-017-9699-9.
39. Lutz N, Taeymans J, Ballmer C, at al. Cost-effectiveness and cost-benefit of worksite health promotion programs in Europe: a systematic review. Eur J Public Health. 2019;29(3):540-6. doi:10.1093/eurpub/cky269.
40. Attipoe V, Oyeyipo I, Ayodeji DC, et al. Economic impacts of employee well-being programs: A review. International Journal of Advanced Multidisciplinary Research and Studies. 2025;15;2: 852-60. doi:10.62225/2583049X.2025.5.2.3907.
41. Nagibina NI, Vakulskaya EA, Pestereva EO. Well-being. Managing employee well-being to increase productivity — improve HR and business performance of the company. Personnel and intellectual resources management in Russia. 2020;9(4):8-17. (In Russ.) doi:10.12737/2305-7807-2020-8-17.
42. Rybakov IA. Strengthening the health of workers: assessing the effectiveness of corporate model programs. Motivation and remuneration. 2020;2:116-21. (In Russ.) doi:10.36627/2618-8864-2020-2-2-116-121.
43. Tompa E, Verbeek J, van Tulder M, et al. Developing guidelines for good practice in the economic evaluation of occupational safety and health interventions. Scand J Work Environ Health. 2010;36(4):313-8. doi:10.5271/sjweh.3009.
44. van Dongen JM, van der Beek AJ. Economic evaluations in occupational health: what brings the best bang for the buck? Scand J Work Environ Health. 2022;48(4):249-52. doi:10.5271/sjweh.4026.
45. Goetzel RZ, Pei X, Tabrizi MJ, et al. Ten modifiable health risk factors are linked to more than one-fifth of employer-employee health care spending. Health Aff (Millwood). 2012;31(11):2474-84. doi:10.1377/hlthaff.2011.0819.
46. Uegaki K, de Bruijne MC, van der Beek AJ, et al. Economic evaluations of occupational health interventions from a company's perspective: a systematic review of methods to estimate the cost of health-related productivity loss. Journal of Occupational Rehabilitation. 2011;21;1:90-9. doi:10.1007/s10926-010-9258-0.
47. Carmichael F, Fenton S-J, Pinilla Roncancio M, et al. Workplace wellbeing programmes and their impact on employees and their employing organisations: A scoping review of the evidence base. Birmingham Business School Discussion Paper Series. http://epapers.bham.ac.uk/2103/ (16 September 2025).
48. Moroni A, Degan R, Martin B, et al. Effectiveness of Workplace Health Promotion (WHP) interventions in university employees: a scoping review. Health Promot Int. 2023;38;1:daac171. doi:10.1093/heapro/daac171.
49. Baxter S, Sanderson K, Venn AJ, et al. The Relationship between Return on Investment and Quality of Study Methodology in Workplace Health Promotion Programs. Am J Health Promot. 2016;28;6:347-63. doi:10.4278/ajhp.130731-LIT-395.
50. Schultz AB, Chen CY, Edington DW. The cost and impact of health conditions on presenteeism to employers: a review of the literature. Pharmacoeconomics. 2009;27(5):365-78. doi:10.2165/00019053-200927050-00002.
51. Brouwer WB, Koopmanschap MA, Rutten FF. Productivity losses without absence: measurement validation and empirical evidence. Health Policy. 1999;48(1):13-27. doi:10.1016/s0168-8510(99)00028-7.
52. Kontsevaya AV, Antsiferova AA, Ivanova ES, et al. Atria platform as a tool for implementing employee wellness programs within the National Projects of the Russian Federation. Cardiovascular Therapy and Prevention. 2024;23(12):4232. (In Russ.) doi:10.15829/1728-8800-2024-4232.
53. Antsiferova AA, Kontsevaya AV, Khudyakov MB, et al. Development of an online calculator of economic losses for an employer to justify investments in employee health. Problems of standardization in healthcare. 2023;(11-12):24-32. (In Russ.) doi:10.26347/1607-2502202311-12024-032.
54. Konovalova VG. Traditional and digital presenteeism: how not to lose control over the situation. Management accounting. 2022;12(3):727-34. (In Russ.) doi:10.25806/uu12-32022727-734.
Supplementary files
What is already known about the subject?
- Workplace wellbeing programs play a crucial role in maintaining employee health, increasing their work productivity, and improving overall economic performance of the organization and the state as a whole.
- Researchers evaluate economic efficiency using a variety of methods and indicators, and research results can be mixed and depend on many factors, such as industry specifics, organization scale, program duration, and calculation methodology used.
What might this study add?
- Despite favorable findings from several studies, the absence of a unified approach to evaluating the economic efficiency of workplace wellbeing programs necessitates the development of a methodological framework tailored specifically for Russian organizations, taking into account the relevance of this direction within the national project "Long and Active Life".
Review
For citations:
Kontsevaya A.V., Antsiferova A.A., Kashutina M.I., Shakirov M.M., Drapkina O.M. Cost-effectiveness of workplace wellbeing programs: evidence and necessity for developing a detailed methodology. Cardiovascular Therapy and Prevention. 2025;24(10):4622. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4622. EDN: PNQJYE

















































