HEA004 Primary care leading to increased quality-adjusted life years (QALY)

Number of individuals receiving primary care: Reported by program.

Percentage of participants getting medical services solely because of the program:

• Low-income adults: [30%]. This is the percentage of low-income adults without a usual source of care in Minnesota as a proxy for access to primary care (The Commonwealth Fund, 2018).
• Homeless adults: [80%]. This is estimated by Constellation Fund staff based on data from Wilder Research (2017) which shows that 20% of homeless individuals receive health-related referrals.

QALY increase due to treatment: [0.07]. This is the QALY value of one year of access to health care based in the work of Muennig (2005) and Muennig, Glied & Simon (2005).

$ value per QALY: [$50,000]

Benefits are then discounted to present value based on the average age of participation to life expectancy.

Muennig, P., Glied, S. & Simon, J. (2005). Estimation of the health benefits produced by Robin Hood Foundation grant recipients. New York, NY: Robin Hood.

The Commonwealth Fund. (2018). Minnesota State Health System Ranking. Health Center Data Center. Retrieved from: http://datacenter.commonwealthfund.org/scorecard/state/25/minnesota/

Wilder Research. (2016). 2015 homeless adults and children: Minnesota statewide survey data. . Retrieved from: http://mnhomeless.org/minnesota-homeless-study/detailed-data-interviews/2015/HennepinCountyMN_Adult2015_Tables51-67.pdf