Changes in physician costs among high-cost transcendental meditation practitioners compared with high-cost nonpractitioners over 5 years.

A 14-year study in Quebec compared high-cost health insurance enrollees who practiced the Transcendental Meditation (TM) technique with a matched no-treatment group. Before starting meditation, both groups had similar yearly increases in physician payments. After starting, the TM group's average annual payments decreased by $44.93, while the comparison group showed no significant change. The TM group's payments dropped 11% after one year and 28% after five years. The results suggest the TM technique may reduce physician costs, but randomized studies are needed to confirm.

Study at a glance

Abstract

To determine whether the Transcendental Meditation (TM) technique can affect the physician costs of consistently high-cost people. Quasi-experimental, longitudinal, cost-minimization evaluation. This 14-year, preintervention-postintervention study retrospectively assessed government payments to physicians for treating the TM and no-treatment (NT) groups. Province of Quebec, Canada. The highest-spending 10% of 1418 Quebec health insurance enrollees who practiced the TM technique were compared with the highest 10% of 1418 subjects who were randomly selected from enrollees of the same age, sex, and region. TM participants had chosen to begin the technique prior to choosing to enter the study. Annual payments to private physicians in all treatment settings. The Quebec government health insurance agency provided the total physician payments for each of the 2836 subjects from 1981 to 1994. Other medical expense data for individuals were unavailable. Data were adjusted for medical cost inflation. For each subject, least-squares regression slopes were calculated to estimate preintervention and postintervention annual rates of change in payments. The groups' means, slopes, and medians were compared using both parametric and nonparametric tests. Before starting meditation, the yearly rate of increase in payments to physicians between groups was not significantly different. After commencing meditation, the TM group's mean payments declined $44.93 annually (p = .004), whereas the NT comparison group's payments exhibited nonsignificant changes. After 1 year, the TM group decreased 11%, and after 5 years their cumulative reduction was 28% (p = .001). The results suggest the intervention may be an effective method for reducing physician costs. Randomized studies are recommended.