On this page we present detailed results for our Asthma Home Remediation model in Philadelphia. You can find information about the following topics:
Health Impact and Utilization
A Closer Look: The North Planning District
There are approximately 53,000 children living in low-income families with moderate to severe asthma who would be eligible for the intervention. We model a take-up rate of 75% in the results shown here.
The rate of asthma among children in Philadelphia is 24.4 percent. Asthma rates prior to the intervention vary greatly - from 10.0% in Upper Northwest planning district to 42.9% in West Park planning district.
This intervention will lead tomore than one million additional symptom free days for children in Philadelphia. This is an average of 29 per child.
This intervention will lead to almost 12,000 fewer Medicaid Emergency Department visits annually for children in Philadelphia. This is an average of 0.3 per child.
This intervention will lead to almost 19,000 fewer Medicaid hospitalizations annually for children in Philadelphia. This is an average of 0.5 per child.
Children in Philadelphia will attend approximately 324,000 additional school days they would have missed otherwise. This is an average of9.6 per child.
The North Planning district is the largest in Philadelphia and has one of the higher asthma rates among children (35.0% compared to 24.4% for all of Philadelphia). Unsurprisingly, it benefits greatly from this intervention. Here are the highlights:
3,326 fewer Medical Emergency Department Visits annually
5,543 fewer Medical hospitalizations annually
321,476 fewer symptom days annually
90,457 fewer missed school days per academic year
The program brings in steady savings to state and local governments in year one. For year ten they are approximately $9.3 million. By year 10, cumulative savings for state and local governments approach $138.4 million. For an initial cost of $81.2 million, this comes out to $2.70 returns for every dollar initially invested.
Maintaining the program every year leads to even greater yearly savings. In this scenario, year 50 savings are approximately $164.8 million. By year 50, cumulative savings are $7.6 billion. For a cost of $4.1 billion, this comes out to $2.88 returns for every dollar initially invested.
The vast majority of the savings come from reduced Medicaid expenditures through fewer hospital admissions (92%) and fewer Emergency Department visits (1%). There are also some savings associated with increased school attendance (6%) and fewer symptom free days (<1%).