Everything you need to measure the results (and success) of a health and wellness plan in an international SME
ACCESS TO CARE - Measures to improve employees’ health and well-being have become one of the most effective strategies used by SMEs, particularly in the case of companies with employees on international assignments.

There are several benefits of these initiatives, such as fostering commitment, stimulating motivation and improving productivity, etc. But is it really possible to measure the success of a health and wellness plan? The answer is yes. Pero eso no es todo. In addition to measuring the success, it is also possible to estimate the return on investment (ROI). Keep reading!
SMEs are the main driver of employment at European level. According to the latest figures published by Cepyme and SMEunited 1 companies with less than 250 employees 2 represent 99,8% of European businesses. That is why, as advocated by the International Labour Organization (ILO),3 it is vital that these organisations ensure the well-being of their employees. And in the case of organisations with expatriate workers, making employees’ health a priority will make them feel more supported and safer during their international assignment. This is because a business culture in which the strategic focus is caring for the health of staff members is associated with higher levels of motivation, commitment and performance.
In this respect, according to the World Health Organization (WHO)4 ‘Health Evidence Network Synthesis’ report, investing in health and well-being is a driver of sustainable development. In the short term, it helps to achieve better results, while ensuring a scalable business in the long term. This means that a small investment can bring major economic gains.
And according to our report ‘Health and Wellness in Workplaces: What works? - ROI Analysis of Health & Wellness Interventions’ prepared by Cigna International Markets,5 if they are well thought-out, measures to improve the emotional well-being of staff may yield a sixty-fold return on the initial investment, regardless of the amount, the size of the organisation and the country in which the employees are located.
Judging from these data, the competitive edge that investing in a team’s health and well-being gives is clear. Implementing this type of plan in the workplace should be considered first and foremost as a major investment in the success of the international SME. But how can we measure the return on such an investment, and see the results of the plan in greater detail?
Evaluating the results – a tool for continuous improvement
Measuring and thoroughly analysing the results of health and wellness plans is a fundamental part of the process, not only to find out how effective they are, but also to identify possible deviations. Based on these data, it is possible to correct any situation that would hinder or prevent the achievement of the desired objectives. It is, therefore, highly recommended to establish a series of standard quantitative and qualitative indicators that allow this evaluation to be carried out.
As an expert in health plans for SMEs, Cigna has identified five types of variables that provide an overview of the results achieved and allow the return on the investment to be calculated:
The help that companies like Cigna provide when implementing a health plan is particularly important in the case of international SMEs. Given that currently 53% of the population are calling for greater attention to be given to their well-being by the companies in which they work [PDF],6 offering a flexible, tailored solution to meet the specific needs of each SME could make a difference in the lives of their expatriate employees.
Thanks to these solutions, it is possible to offer access to the best health care at the most reputable centres with the most prestigious professionals in a simple and convenient way; to have access to the most innovative solutions in digital health with different telemedicine tools; to offer multiple services focused on mental health care or adopting a healthy lifestyle for the whole family; and to provide support at all stages when assigning seconded employees, as well as many other options. This will help improve the participation of staff in these plans, increase their level of satisfaction and, ultimately, yield greater returns on investments in international SMEs.
Click on this link for more information and to find out everything that Cigna can do to help you provide comprehensive care for your staff.
Cigna designs health insurance solutions that will help improve employee wellness and productivity while helping you control your costs. For more information on how a Cigna health insurance plan can help you improve employee health and wellbeing, get in touch with our team.
Fuentes:
1 Cepyme and SMEunited. Shaping Europe for SMEs. Link
2 European Commission. Internal Market, Industry, Entrepreneurship and SMEs. Link
3 International Labour Organization (ILO). The power of small: unlocking the potential of SMEs. Link
4 World Health Organization. Health Evidence Network Synthesis. Link
5 Cigna International Markets. ‘Health and Wellness in Workplaces: What works? - ROI Analysis of Health & Wellness Interventions. Link
6 Cigna ‘COVID-19 Global Impact’. Positivity around Vaccine Roll-Out and Anticipated Approval Leads Improved Perceptions on Whole Health. Link
Cuando tu empresa tiene empleados que trabajan en el extranjero, es fundamental asegurarse de proporcionar atención médica accesible y de calidad y mantenerse un paso por delante de los posibles riesgos.
Es esencial prestar atención al estado emocional de tus equipos en el extranjero para mitigar el riesgo de pérdida financiera y de reputación, ya que los empleados con movilidad global son fundamentales para el crecimiento y el éxito Internacional.
@Cigna 2025
Este documento sirve solo como referencia y su finalidad es únicamente informativa. Always follow the government advice from your current nation of residence as well as the guidance on the World Health Organization website. Seek further advice from your physician or other qualified health provider if you have any questions you may have regarding a medical condition.
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