A Comparison of Flourishing Questions and Healthy Days in Population Health

Chiara J. Antonioli, MSPH


Anna F. Ballou, MSPH


Sierra Inks, MS


Meaghan Pilcher, MS


Houda Rabah, PhD


Naakesh Dewan, MD, CPE, DLFAPA, FASAM


Mar 6, 2026


Physician Leadership Journal


Volume 13, Issue 2, Pages 46-54


https://doi.org/10.55834/plj.7204741120


Abstract

This study examined whether Flourishing Questions from The Human Flourishing Program correlate with Healthy Days as a measure of population health. The study used data from two surveys conducted by Blue Cross and Blue Shield of Florida to compare the mental and physical health questions from the Flourishing Questions to similar Healthy Days questions. This analysis studied whether the Healthy Days and Flourishing results were correlated and whether the Flourishing results were similarly correlated with post-survey hospitalization compared to Healthy Days. The correlations between Flourishing and Healthy Days responses were moderately negative and significant for both physical and mental health. The Flourishing measures may measure similar phenomena to Healthy Days, while also capturing additional measures of health. Additionally, Flourishing may interact with other health outcomes similarly to Healthy Days. Further research is needed to confirm these findings and to explore the advantages of using the Flourishing Questions.




Chiara J. Antonioli, MSPH

Chiara J. Antonioli, MSPH, is an associate data scientist at Blue Cross and Blue Shield of Florida, Jacksonville, Florida.


Anna F. Ballou, MSPH

Anna F. Ballou, MSPH, is a graduate cx data intern at Blue Cross and Blue Shield of Florida, Jacksonville, Florida.


Sierra Inks, MS

Sierra Inks, MS, is a senior data scientist at Blue Cross and Blue Shield of Florida, Jacksonville, Florida.


Meaghan Pilcher, MS

Meaghan Pilcher, MS, is a cx analytics director at Blue Cross and Blue Shield of Florida, Jacksonville, Florida.


Houda Rabah, PhD

Houda Rabah, PhD, is a strategy, customer experience, and analytics executive at Blue Cross and Blue Shield of Florida, Jacksonville, Florida.


Naakesh Dewan, MD, CPE, DLFAPA, FASAM
Nick Dewan, MD, CPE, DLFAPA, FASAM

Naakesh Dewan, MD, CPE, DLFAPA, FASAM, vice president of behavioral health at GuideWell and Florida Blue.

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