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Journal of Urban Health : Bulletin of the New York Academy of Medicine logoLink to Journal of Urban Health : Bulletin of the New York Academy of Medicine
. 2004 Mar;81(1):106–117. doi: 10.1093/jurban/jth097

Modeled cost-effectiveness of the experience corps baltimore based on a pilot randomized trial

Kevin D Frick 1,✉, Michelle C Carlson 1, Thomas A Glass 1, Sylvia McGill 1, George W Rebok 1, Crystal Simpson 1, Linda P Fried 1
PMCID: PMC3456137  PMID: 15047789

Abstract

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.

Keywords: Experience Corps, Cost-effectiveness, Older adults’ health status, Children’s increased lifetime earnings, Public elementary schools

Full Text

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Footnotes

Drs. Frick, Carlson, Glass, Rebok, and Fried are with the Johns Hopkins Bloomberg School of Public Health; Drs. Frick, Simpson, and Fried are with The Johns Hopkins University School of Medicine; Dr. Frick is with The Johns Hopkins University Zanvyl Krieger School of Arts and Sciences; Dr. Frick is with The Johns Hopkins University School of Nursing; and Ms. McGill is with the Greater Homewood Community Corporation.

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