Disease Prevention Programs Worth the Investment

ByABC News
July 17, 2008, 5:24 PM

July 18 -- THURSDAY, July 17 (HealthDay News) -- Community-based health programs aimed at diet, exercise, smoking prevention and other known risk factors for chronic diseases could cut health-care costs in the United States by $16 billion a year, a new report says.

"We worked with economists at the Urban Institute who looked at health-care costs associated with these chronic diseases," said Jeffrey Levi, executive director of the Washington-based Trust for America's Health, which issued the report. "They estimated a 5 percent reduction in these chronic diseases to derive these savings."

The estimate was based on a model developed at the Urban Institute and a review of studies on the cost and effectiveness of prevention programs by experts at the New York Academy of Medicine.

Spending $10 a year per person would save the United States more than $16 billion annually within five years, the economists said, for a return of $5.60 on every $1 invested. Their survey showed that effective prevention programs costing less than $10 per person could reduce rates of type 2 diabetes and high blood pressure by 5 percent within two years, reduce heart disease, kidney disease and stroke by 5 percent within five years, and reduce some forms of cancer, arthritis and lung disease by 2.5 percent in 10 to 20 years.

Who would pay for the prevention programs? Primarily the same agencies that promote prevention programs now, such as the U.S. Centers for Disease Control and Prevention, and other agencies, along with state and local health departments, according to Levi.

"But since private insurance companies and Medicare and Medicaid would benefit, the question is whether some of these resources should be tapped," Levi said.

Medicare would save more than $5 billion a year, Medicaid would save more than $1.9 billion and private health insurers would save more than $9 billion, the economists estimated.

Levi said the report is "a call to action for people to recognize the importance of investing in these kinds of prevention measures."