Evidence-Based Community Health Worker Program Addresses Unmet Social Needs And Generates Positive Return On Investment

Interventions that address socioeconomic determinants of health are receiving considerable attention from policy makers and health care executives. The interest is fueled in part by expected returns on investment. However, many current estimates of returns on investment are likely overestimated, bec...

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Bibliographic Details
Published in:Health affairs (Millwood, Va.) Va.), 2020-02, Vol.39 (2), p.207-213C
Main Authors: Kangovi, Shreya, Mitra, Nandita, Grande, David, Long, Judith A, Asch, David A
Format: Article
Language:English
Subjects:
Chronic illnesses
Clinical trials
Community
Community health care
Community health workers
Cost control
Design
Disadvantaged
Economic analysis
Enrollments
Evidence-based medicine
Health
Health care
Hospitalization
Hospitals
Intervention
Investments
Medicaid
Medical personnel
Medical workers
Mental health
Patient-centered care
Patients
Policy making
Poverty
Quality control
Regression analysis
Return on investment
Securities analysis
Social support
Socioeconomic factors
Teams
Uninsured people
Workers
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Summary:Interventions that address socioeconomic determinants of health are receiving considerable attention from policy makers and health care executives. The interest is fueled in part by expected returns on investment. However, many current estimates of returns on investment are likely overestimated, because they are based on pre-post study designs that are susceptible to regression to the mean. We present a return-on-investment analysis that is based on a randomized controlled trial of Individualized Management for Patient-centered Targets (IMPacT), a standardized community health worker intervention that addresses unmet social needs for disadvantaged people. We found that every dollar invested in the intervention would return $2.47 to an average Medicaid payer within the fiscal year.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2019.00981