Health Economic Evaluation Modeling Shows Potential Health Care Cost Savings with Increased Conformance with Healthy Dietary Patterns among Adults in the United States

Scrafford, Carolyn G.; Bi, Xiaoyu; Multani, Jasjit K.; Murphy, Mary M.; Schmier, Jordana K.; Barraj, Leila M.

doi:10.1016/j.jand.2018.10.002

Cited by 33 publications

(19 citation statements)

References 63 publications

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“…More complex approaches to health economic modeling are available such as cohort models and microsimulation models [16,17]. A cost-of-illness [7,8] or cost-benefit [10] approach, or a scenario analysis [11] approach, similar to the current analysis are commonly used for public health nutrition models, and these approaches are particularly appropriate when there are limited data about consumption of a specific food, the lag between increased (or decreased) consumption and the health effect, and how other population risk factors may affect the change in incidence.…”

Section: Discussionmentioning

confidence: 99%

“…Previous scenario analyses have modeled changes in healthcare costs from beneficial shifts in dietary patterns and provide an indication of the potentially substantial economic impact associated with modifications to the population's diet [7][8][9][10][11]. The purpose of this study is to estimate the impact on healthcare costs associated with a reduced incidence of total CVD based on modeling incremental increases in whole grains consumption as a proportion of total grains up to levels recommended in the DGA.…”

Section: Introductionmentioning

confidence: 99%

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Cardiovascular Healthcare Cost Savings Associated with Increased Whole Grains Consumption among Adults in the United States

Murphy

Schmier

2020

Nutrients

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Little is known about the potential health economic impact of increasing the proportion of total grains consumed as whole grains to align with Dietary Guidelines for Americans (DGA) recommendations. Health economic analysis estimating difference in costs developed using (1) relative risk (RR) estimates between whole grains consumption and outcomes of cardiovascular disease (CVD) and a selected component (coronary heart disease, CHD); (2) estimates of total and whole grains consumption among US adults; and (3) annual direct and indirect medical costs associated with CVD. Using reported RR estimates and assuming a linear relationship, risk reductions per serving of whole grains were calculated and cost savings were estimated from proportional reductions by health outcome. With a 4% reduction in CVD incidence per serving and a daily increase of 2.24 oz-eq of whole grains, one-year direct medical cost savings were estimated at US$21.9 billion (B) (range, US$5.5B to US$38.4B). With this same increase in whole grains and a 5% reduction in CHD incidence per serving, one-year direct medical cost savings were estimated at US$14.0B (US$8.4B to US$22.4B). A modest increase in whole grains of 0.25 oz-eq per day was associated with one-year CVD-related savings of $2.4B (US$0.6B to US$4.3B) and CHD-related savings of US$1.6B (US$0.9B to US$2.5B). Increasing whole grains consumption among US adults to align more closely with DGA recommendations has the potential for substantial healthcare cost savings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cardiovascular Healthcare Cost Savings Associated with Increased Whole Grains Consumption among Adults in the United States

Murphy

Schmier

2020

Nutrients

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“…As mentioned earlier, the 80% scenario was introduced by Scrafford et al (25) to denote a maximum bound, as the vast majority of the population is assumed to score within the high adherence category. Current MedScore studies have a poor representation of the complete population adherence distribution, as well as how the population is distributed within a tertile.…”

Section: Discussionmentioning

confidence: 99%

“…To determine the benefit of higher adherence to a MedDiet, two scenarios reflecting increases in current percentages of populations who follow the MedDiet by 20 and 80% were constructed, extending from a recent analysis by Scrafford et al (25). Fractions of the population assumed to transition from low to medium, medium to high, and low to high were calculated and applied to a reduction in CVD incidence specific to their dietary changes.…”

Section: Methodsmentioning

confidence: 99%

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Economic modeling for improved prediction of saving estimates in healthcare costs from consumption of healthy foods: the Mediterranean-style diet case study

Jones¹,

Abdullah²,

Wood³

et al. 2019

Food & Nutrition Research

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BackgroundBy design, existing scenario-based nutrition economics studies on the financial benefits of healthy dietary behaviors generally report uncertainty in inputs and wide ranges of outcome estimates.ObjectivesThis modeling exercise aimed to establish precision in prediction of the potential healthcare cost savings that would follow a reduction in the incidence of cardiovascular disease (CVD) consistent with an increase in adherence to a Mediterranean-style diet (MedDiet).DesignUsing a Monte Carlo simulation model on a cost-of-illness analysis assessing MedDiet adherence, CVD incidence reduction, and healthcare cost savings in the United States and Canada, short- and long-term cost savings that are likely to accrue to the American and Canadian healthcare systems were estimated using 20 and 80% increases in MedDiet adherence scenarios.ResultsIncreasing percentage of population adhering to a MedDiet by 20% beyond the current adherence level produced annual savings in CVD-related costs of US$8.2 billion (95% confidence interval [CI], $7.5–$8.8 billion) in the United States and Can$0.32 billion (95% CI, $0.29–$0.34 billion) in Canada. An 80% increase in adherence resulted in savings equal to US$31 billion (95% CI, $28.6–$33.3 billion) and Can$1.2 billion (95% CI, $1.11–$1.30 billion) in each respective country.ConclusionComputational techniques with stochastic parameter inputs, such as the Monte Carlo simulation, could be an effective way of incorporating variability of modeling parameters in nutrition economics studies for improved precision in estimating the monetary value of healthy eating habits.

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SROI Methods for Impact Assessment in Economy of Wellbeing

Lettieri

Biasin

Selva

et al. 2021

Digital Health Technology for Better Aging

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Population ageing represents one of the major challenges that contemporary society is going to face in the coming years. This phenomenon is putting high pressure on the healthcare system and makes it necessary to identify specific instruments ensuring to live longer in healthy conditions, concept also referred to as healthy ageing. In this view, the European NESTORE H2020 project is a multi-dimensional and personalized virtual coaching technology for the enhancement of people's well-being and quality of life after their 65. However, the assessment of health promotion strategies like NESTORE is a thorny issue, being the benefits achieved in the longterm as a result of investments incurred for many years. Decision-makers need methodologies that show that what is invested today will pay back through the saving generated in the long-term. Traditionally, cost-benefit analysis (CBA) is employed: however, CBA has historically been under discussion. In recent times, social return on investment (SROI) methodology has been promoted as a more 'holistic' approach for demonstrating value-for-money of initiatives. Given the lack of evidence concerning SROI analysis of technologies, the authors developed and validated a model to perform a SROI analysis when evaluating innovative technologies promoting healthy ageing. To address the research question, an inductive approach has been employed, selecting as a starting point the real case of NESTORE, under the assumption of its future implementation in the Lombardy Region, in the autonomous community of Catalonia and in the province of South Holland. SROI for NESTORE has been defined involving as stakeholders the healthcare systems of the areas under consideration, beneficiaries (senior adults in health between 40 and 79 years) living in the three areas, the economic system and beneficiaries' familiar caregivers. In all the three areas analysed, the SROI ratios (calculated over a time horizon of 10 years) are higher than 1; therefore, the project results to be valuefor-money. The result has been validated by NESTORE Consortium itself. This study contributes to the existing literature on the SROI, confirming that there is room for its application when dealing with healthcare technologies. In addition, it represents a useful aid for NESTORE decision-makers and distributors, supporting them in the definition of a suitable and detailed exploitation strategy for the initiative.

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Health Economic Evaluation Modeling Shows Potential Health Care Cost Savings with Increased Conformance with Healthy Dietary Patterns among Adults in the United States

Cited by 33 publications

References 63 publications

Cardiovascular Healthcare Cost Savings Associated with Increased Whole Grains Consumption among Adults in the United States

Cardiovascular Healthcare Cost Savings Associated with Increased Whole Grains Consumption among Adults in the United States

Economic modeling for improved prediction of saving estimates in healthcare costs from consumption of healthy foods: the Mediterranean-style diet case study

SROI Methods for Impact Assessment in Economy of Wellbeing

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