TY - JOUR
T1 - Modeled Cost-Effectiveness of the Experience Corps Baltimore Based on a Pilot Randomized Trial
AU - Frick, Kevin D.
AU - Carlson, Michelle C.
AU - Glass, Thomas A.
AU - McGill, Sylvia
AU - Rebok, George W.
AU - Simpson, Crystal
AU - Fried, Linda P.
N1 - Funding Information:
This work was supported in part by funding from the following sources: the Retirement Research Foundation, the Erickson Foundation, the state of Maryland, the state of Maryland Department of Education, the Baltimore City Public Schools, the Baltimore City Commission on Aging and Retirement Education, the Johns Hopkins Prevention Center, and the Corporation for National Service and by a small grant from the Borchard Foundation Center on Law and Aging.
PY - 2004/3
Y1 - 2004/3
N2 - The Experience Corps® program was designed to harness the social capital of an aging society to improve outcomes for public elementary schools. The objectives of this article are (1) to model the cost-effectiveness of the Experience Corps Baltimore using data from a pilot randomized trial, including costs, older adults' health status, and quality of life and cost data from the Medical Expenditure Panel Survey, and (2) to describe the relationship between children experiencing increased expected lifetime earnings through improved educational attainment resulting from exposure to the Experience Corps Baltimore volunteers and the program's costs and cost-effectiveness. On average, each quality adjusted life year (QALY) gained by older adults in Experience Corps Baltimore costs $205,000. The lower bound of the 95% confidence interval for the cost-effectiveness is $65,000/QALY. The upper bound is undefined as 15% of the simulations indicated no QALY improvements. If 0.3% of students exposed to the Experience Corps Baltimore changed from not graduating to graduating, the increased lifetime earnings would make the incremental cost-effectiveness ratio $49,000/QALY. If an additional 0.1% changed to graduating from high school, the program would be cost-saving. Using conservative modeling assumptions and excluding benefits to teachers, principals, and the surrounding community, the Experience Corps Baltimore appears expensive for the older adults' health improvements, but requires only small long-term benefits to the target children to make the program cost-effective or cost-saving.
AB - The Experience Corps® program was designed to harness the social capital of an aging society to improve outcomes for public elementary schools. The objectives of this article are (1) to model the cost-effectiveness of the Experience Corps Baltimore using data from a pilot randomized trial, including costs, older adults' health status, and quality of life and cost data from the Medical Expenditure Panel Survey, and (2) to describe the relationship between children experiencing increased expected lifetime earnings through improved educational attainment resulting from exposure to the Experience Corps Baltimore volunteers and the program's costs and cost-effectiveness. On average, each quality adjusted life year (QALY) gained by older adults in Experience Corps Baltimore costs $205,000. The lower bound of the 95% confidence interval for the cost-effectiveness is $65,000/QALY. The upper bound is undefined as 15% of the simulations indicated no QALY improvements. If 0.3% of students exposed to the Experience Corps Baltimore changed from not graduating to graduating, the increased lifetime earnings would make the incremental cost-effectiveness ratio $49,000/QALY. If an additional 0.1% changed to graduating from high school, the program would be cost-saving. Using conservative modeling assumptions and excluding benefits to teachers, principals, and the surrounding community, the Experience Corps Baltimore appears expensive for the older adults' health improvements, but requires only small long-term benefits to the target children to make the program cost-effective or cost-saving.
KW - Children's increased lifetime earnings
KW - Cost-effectiveness
KW - Experience Corps
KW - Older adults' health status
KW - Public elementary schools
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U2 - 10.1093/jurban/jth097
DO - 10.1093/jurban/jth097
M3 - Article
C2 - 15047789
AN - SCOPUS:2442587490
SN - 1099-3460
VL - 81
SP - 106
EP - 117
JO - Journal of Urban Health
JF - Journal of Urban Health
IS - 1
ER -