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Understanding the impact and cost of chronic disease.   A chronic condition is defined as a health problem that lasts a year or longer, limits what one can do and may require ongoing care. According to the Partnership for Solutions, a national policy research program funded by the Robert Wood Johnson Foundation and based at Johns Hopkins University, more than 125 million Americans have at least one chronic condition and 60 million people have multiple conditions.

In terms of the American workforce, this translates into a full 40% of employees having at least one chronic health condition.

What's more, it is projected that by the year 2020, 25% of the American population will be living with multiple chronic conditions, and costs for managing these conditions are estimated to reach $1.07 trillion.

The prevalence of chronic disease transcends age and gender demographics. However, the likelihood of a significant portion of an employee population being affected by a certain condition will vary by industry, geography, and workforce attributes. For example, musculoskeletal conditions (i.e., back pain) are most prevalent in companies with predominantly younger, male populations; whereas, companies with older workforces face a greater likelihood of heart disease. Blue-collar workplace environments have higher rates of lifestyle-related conditions such as diabetes, while white-collar environments face higher healthcare costs for behavioral health issues.

For employers, the cost of chronic disease goes far beyond the direct costs of healthcare and medical expenses. Absenteeism costs as measured by lost wages amounts to $65 billion annually for American companies. This cost is compounded by the impact of lost productivity due to workers who are limited in the amount or kind of work they can do, which can affect as much as high as 34% of the total workforce.

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