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The Basics

Brain fitness industry set to boom

Growing interest in brain health, combined with efforts by employers and insurers to keep down health care costs, has the fledgling discipline poised for takeoff.

By MarketWatch

Consumers and retirement homes have turned brain-fitness games and exercises into commercial hits, and now some insurers and employers are incorporating them into wellness programs that promote health for the mind as well as the body.

OptumHealth, a subsidiary of UnitedHealth Group, develops wellness programs for 2,500 U.S. employers. When it launched a pilot study of a Web-based cognitive-function test in January, Danna Lipton, a care advocate, was quick to sign up. Lipton's father was diagnosed with Alzheimer's disease at age 62, and though she was just 31, she was looking for ways to start early to maintain her brain health.

Lipton scored fine on memory in the 40-minute assessment, but the licensed clinical social worker was surprised to learn she did not rank so high on some abilities that were key to her job, such as reading emotional and verbal cues. Since then, she has played brain games online at MyBrainSolutions and says she has experienced some improvement.

"It showed me some of those little things about yourself that might otherwise be hard to learn," Lipton said. "It was like having therapy without having a therapist there."

The U.S. market in brain-fitness software generated $265 million in revenue in 2008, an 18% increase from $225 million in 2007 and up from $100 million in 2005, according to a report this month by SharpBrains, a San Francisco company that tracks the cognitive-fitness industry.

Sales have been driven mostly by retirement homes, more than 700 of which now offer computerized cognitive-training programs, and by consumers doing programs on their home computers or visiting brain "gyms," said Alvaro Fernandez, a co-founder of SharpBrains and its CEO.

The fast-growing sector is expected to skyrocket, with revenue projected to leap to $1 billion to $5 billion by 2015. Fueling the growth are insurers, employers and even governments seeking to reduce direct and indirect health care costs.

Staying engaged on the job

OptumHealth first rolled out MyBrainSolutions to employee assistance programs to help identify mental-health issues such as depression that can accompany other health problems, including diabetes and obesity, said Dr. Eugene Baker, a vice president in OptumHealth's Behavioral Solutions division. The cognitive-function test is three-quarters brain function and one-quarter psychological, he added.

This year, the company has begun offering MyBrainSolutions as a wellness feature. OptumHealth hopes to position itself as a leader in the brain-health space for employers, Baker said.

"Improving brain health can result in less 'presenteeism,' the tendency to be at work but be distracted and not able to focus," he said. "If you look at disability costs, absenteeism and presenteeism account for most of the medical costs, and that's a good reason for employers to be focused on brain health."

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Nationwide Auto Insurance added MyBrainSolutions to its employee assistance program in September and began offering it as part of the company's wellness program for all its 35,000 associates in April.

That employee interest in brain health is high could be seen in the swift response: Within two hours after an introductory e-mail was sent, 150 people had signed up, and 500 have since taken the test and started completing the MyBrainSolutions modules, said Kathleen Herath, the associate vice president for health and productivity at Nationwide.

"We have programs for weight loss and smoking cessation, but we also need something for people who are healthy and on top of their game," she added. "This is a nice fit for those folks as well."

Medical insurer Humana also has dabbled with brain fitness for several years and recently partnered with HappyNeuron, a brain-fitness subsidiary of French company Scientific Brain Training, to add five brain games to Humana's Games for Health Web site.

The site, which can be accessed by anyone, not just Humana health plan members, also includes games that focus on good nutrition and physical fitness.

Continued: Insurers onboard

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Monday, May 18, 2009 7:01:55 PM
I am appalled at the lack of mention of the field of Speech-Language Pathology and its role in treating cognitive and language impairment in those with brain injury, stroke and even dementia.  A SOCIAL WORKER does NOT have the educational background to make diagnostic and treatment decisions for these disorders BUT they may be less costly to hire! Speech Pathologists work in a variety of medical and non-medical settings and spend at least 2 years in a graduate program following their 4 year degree!  Social Workers should be utilized to help the patient and family cope emotionally and assist them in locating needed resources.  Wake up America! You don't have cardiac surgery done by your local auto mechanic-even if he can work on the engine while it's running!  It's two different things!  If you or a family member require services following a brain injury or stroke or experience communication difficulties due to a neurological  condition (MS, Parkinson's Disease, etc) seek out the services of a Speech-Language Pathologist.  Check out www.ASHA.org
Tuesday, May 19, 2009 4:01:38 PM
As a severe traumatic brain injury survivor who was given a 4% chance of survival, I know first-hand the challenges of recovery, including all the health care decisions that need to be made. Also as a triathlete, I understand how brain and body fitness work together for the benefit of a person's overall health. I appreciate this article because brain injury, which causes over 1 million injuries a year is often overlooked by the media as a major health care concern. It is in this that I am trying to raise awareness through my book and website www.gobackandbehappy.com. Be happy!
Wednesday, May 20, 2009 2:18:23 AM
Yeah, some people know that insurance game, it's called; take the money and run, then ask for bailout money and keep on running some more.Open-mouthed  Ole' Sticky Fingers.
Wednesday, May 20, 2009 9:18:27 AM

If only Americans wold wake up to the fact that "for profit" insurance is nearly worthless. Insurance companies do one thing well, rip off their clients while making handsome profits. Much like the Drug companies. The only answer to all of this is to pluck the golden goose by proposing "Single Payer Solution", however recently 8 Drs. were arrested for even trying to get (our?) representatives to even put the idea on the table for health care reform. The only conclusion is "We're Doomed" Sad

Wednesday, May 20, 2009 11:15:29 AM
The only problem with SLPs, is insurance companies only cover x number of trips to see one per year, and without insurance help, YOU CHARGE WAY TOO MUCH MONEY for anyone less than upper-middle class can afford you!!!!!! Social workers, though less equipped, at least have some training and are generally made available to everyone. So until you can provide me with a website of low or no cost SLPs, besides the Scottish Rite Masons, I'm sure we'd all be more than happy to listen to you basically bash social workers when all they're trying to do is provide help where there is none.
Wednesday, May 20, 2009 8:51:41 PM
I am sorry if that has been your personal experience.  I DO know of home health agencies and individual SLPs that have donated services in my area.  It is regretful that someone was unable to do so in your situation.  With regard to the insurance Co's--many times, they will pay for so long as progress is DOCUMENTED.  No matter who they are paying, Insurance Co. still want to see progress DOCUMENTED or else they will decline services.  If a patient isn't making progress, he or she has the right to be informed of that and have options discussed.  Sometimes there are other types of programs that are suggested after output therapy. But either way, the patient or the insurance co. shouldn't continue to pay an SLP, a hospital, a home health agency OR A SOCIAL WORKER for services that they are no longer benefitting from. Who would continue to take an antibiotic that wasn't working to kill an infection?  If it's not resulting in benefit, it should be discontinued and another plan put in place.  I am not familiar with the practice act for Social Workers but I am truly surprised that cognitive therapy would fall under the scope of what they may do.  I am not familiar with which neuro-cognitive courses are required of someone in SW, or how many tx hours they log working with patients performing cognitive therapy before they graduate but I do know that SLPs have the training in coursework and in the clinic at a graduate level and are the best option to diagnose the problem and outline tx.  Podiatrists services are much cheaper than cardiologists...but I'm going to go ahead and do everything I can to see the heart doctor if I have a heart problem because in all likelihood I'm going to get the most effective therapy and get better faster.  Social workers bill for their services also--if insurance is covering it--or if you are paying out of pocket, you should insist on receiving therapy from the acknowledged expert, not the cut-rate second choice option.  The old adage that 'something is better than nothing' doesn't hold water in this instance.  Again, I am really sorry to hear you hit a brick wall with SLP services but if you received services from an SLP, you were probably billed by a facility or company--not the SLP directly.  I can tell you first-hand that SLP wasn't seeing near what you were billed.  By and large, we are a soft-hearted lot that didn't go into healthcare to make a mint but to help people.  The insurance companies sometimes get in the way, so we all have to do what we can to fight a fair and good fight against them when necessary.
Thursday, May 21, 2009 1:34:25 AM
To "KansasSpeechPatholog​ist"  I can see that you feel strongly about the services of Speech Pathologists but it sounds like you have been shorted when it comes to respect for your profession.  Unfortunately, you couldn't be farther from the truth in your statements regarding Social Workers.  Now, in the context of a person working within a social support agency without so much as a 4 year degree, you may be 100% correct.  But in experience (and career path) a Social Worker should have atleast a Master's in Social Work.  Now, within my school in the CA State University system, that degree  covers 60 units of graduate work (tends to be 3+ years) on top of required supervised field work and practicum.  I've been looking at various carrer paths, including SLP, and didn't see where SLP covered cognitive neuropsychology at all. 

Here in CA, the largest employer of healthcare professionals focuses on three specialists for their mental health departments:  Psychiatrists (useless except for meds), psychologists (short term counseling) and Social Workers (MSW and LCSW).  And this employer (Kaiser) tends to have pretty good caregivers. 

I thoroughly enjoyed the article and saw no place where SLP was fitting into the context of brain fitness.  Being one who thuroughly enjoys the topics of brain fitness, neuroplasticity, brain exercise, neuroscience, and cognitive psychology, I'll put my faith into the scientists who are at the root of this new science, the experimental psychologists.  If it wasn't for them, we'd still think that the reason you thrashed Social Workers was due to some form of repressed childhood experience (Freudian)...  

Please play fair.  if you'd like to point us to a similar (peer reviewed) article about how SLPs are doing the same kind of work to extend the cognitive processing abilities of the human brain, I would love to read it. 
Thursday, May 21, 2009 12:13:56 PM
I have been working with a company that has been in the brain fitness space since 2001 and we have come along way. There has been significant scientific studies over the last 5 years that illustrate how we can maintain and develop our cognitive skills through our lifespan. Our company has started to launch pilots that provide more efficacy to our software. I truly believe the next 5 years will see a lot of positive developments in this area.

www.fitbrains.com 
Saturday, May 23, 2009 3:42:27 PM
There already is a lot of evidence that computer games can improve brain function- see my blog drjonathanreed.co.uk for examples.  However it is important that the rights parts of the brain are targeted.  Some areas are more plastic i.e. more primed to change than others.  Candidates for change include working memory, visual contrast sensitivity, attention allocation, visual motor function, literacy and numeracy acquisition.  Also some computer games are better than others.  Surprisingly action computer games rather than strategy games seem better for developing attention and visual function.  There is a lack of evidence for some of the games marketed as brain training games.   There is a lot of potential in the market in my opinion providing the right brain areas are targeted with the right games.
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