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Home Visits for Children With Asthma Reduce Medicaid Costs

Erica T Marshall1, Jing Guo2, Elizabeth Flood3

  • 1Asthma Prevention and Control Program, Massachusetts Department of Public Health, 250 Washington St, 4th Flr, Boston, MA 02108.

Preventing Chronic Disease
|February 7, 2020
PubMed

Insights

A home-based asthma intervention for children significantly improved health outcomes and reduced healthcare costs. This community health worker program demonstrated a positive return on investment, proving effective for managing pediatric asthma.

Area of Science:

  • Public Health
  • Pediatric Medicine
  • Health Services Research

Background:

  • Uncontrolled asthma in children leads to significant health burdens and healthcare costs.
  • Ethnic and racial disparities exist in pediatric asthma management and outcomes.
  • Home-based interventions are a promising strategy for improving asthma control in underserved populations.

Purpose of the Study:

  • To evaluate the effectiveness of a multicomponent, low-cost, home intervention for children with uncontrolled asthma.
  • To assess the impact of the intervention on health outcomes and healthcare utilization.
  • To determine the return on investment (ROI) of the home visiting program.

Main Methods:

  • The Reducing Ethnic/Racial Asthma Disparities in Youth (READY) study enrolled 289 children (aged 2-13) with uncontrolled asthma.
  • Community health workers (CHWs) provided 5 home visits over 6 months, focusing on asthma management and environmental trigger remediation.
  • Data on asthma outcomes, indoor environments, and healthcare costs (MassHealth) were collected.

Main Results:

  • The intervention led to significant improvements in asthma control and reduction of environmental triggers.
  • Participants with prior emergency department visits showed a positive ROI of 1.34.
  • The study demonstrated reduced healthcare utilization and associated costs.

Conclusions:

  • Community health worker-led asthma home visiting interventions are effective in improving pediatric asthma management.
  • Home visits enhance trigger management, leading to better clinical outcomes and cost savings.
  • This intervention model improves health quality and reduces healthcare expenditures for pediatric asthma.

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