Health Outcomes

• Single

Health Outcome List:

• Respiratory outcomes (asthma)

Environmental Agents

List of Environmental Agents:

• Not available

Source of Environmental Agents:

• Not available

Economic Evaluation / Methods and Source

Type:

• Cost-benefit analysis (CBA)

Cost Measures:

• Costs of standard home visits, additional costs of asthma visits, administrative costs of a home visit, travel costs, and costs of standard and asthma-specific products distributed during home visits
• New York state Medicaid costs per person for outpatient visits, emergency department visits, hospital stays, and medications

Potential Cost Measures:

• Variations in costs based on geographic variation in housing conditions, improvements, and operating costs

Benefits Measures:

• Costs saved by reductions in medical encounters and medications

Potential Benefits Measures:

• Additional benefits that could be measured through longer-term follow-up

Location:

• 13 rural and urban counties in New York State

Models Used:

• Not available

Models References:

• Not available

Methods Used:

• The authors calculated costs and savings of a home-based asthma intervention program in rural and urban New York from a health care payer perspective. The authors — 1) gathered data from the New York State (NYS) Health Neighborhoods Program (HNP) that included home visits and at least one follow up visit within 3-12 months for people enrolled in the program; 2) conducted a cost study in four counties over two 2-week periods to gather data from HNP administrators and workers on costs related to a home visit for asthma; 3) collected health data from a standardized asthma assessment form used during HNP home visits with details about health care service usage and prescriptions during the previous week; 4) calculated the change since the first home visit as the proportion of health data changes from the first visit to the follow up visit; 5) collected data for total cost in 2010 for asthma-related services and medications for Medicaid enrollees in NYS; 6) calculated the mean change in the medical encounter or medication use multiplied by the average cost of the encounter or medication; and 7) calculated the benefit to cost ratio as the change in health care utilization divided by the cost of an HNP asthma home visit.

Sources Used:

• Home visits cost and self-reported health data collected over two 2-week periods in four counties performing HNP home visits for asthma by HNP staff; total costs in 2010 for asthma-related services and medication for NYS Medicaid enrollees obtained from the NYS Office of Health Insurance Programs; additional sources cited in the publication

Economic Citation / Fundings

Citation:

• Gomez M, Reddy AL, Dixon SL, Wilson J, Jacobs DE. A cost-benefit analysis of a state-funded healthy homes program for residents with asthma: findings from the New York state healthy neighborhoods program. Journal of Publich Health Management and Practice. 2017. 23; 2.
• Pubmed
• DOI

NIEHS Funding:

• Not available

Other Funding:

• Not available