Peter A Muennig1, Babak Mohit2, Jinjing Wu2, Haomiao Jia3, Zohn Rosen2. 1. Mailman School of Public Health, Columbia University, New York, New York. Electronic address: pm124@columbia.edu. 2. Mailman School of Public Health, Columbia University, New York, New York. 3. School of Nursing. Columbia University, New York, New York.
Abstract
INTRODUCTION: Lower-income Americans are suffering from declines in income, health, and longevity over time. Income and employment policies have been proposed as a potential non-medical solution to this problem. METHODS: An interrupted time series analysis of state-level incremental supplements to the Earned Income Tax Credit (EITC) program was performed using data from 1993 to 2010 Behavioral Risk Factor Surveillance System surveys and state-level life expectancy. The cost effectiveness of state EITC supplements was estimated using a microsimulation model, which was run in 2015. RESULTS: Supplemental EITC programs increased health-related quality of life and longevity among the poor. The program costs about $7,786/quality-adjusted life-year gained (95% CI=$4,100, $13,400) for the average recipient. This ratio increases with larger family sizes, costing roughly $14,261 (95% CI=$8,735, $19,716) for a family of three. CONCLUSIONS: State supplements to EITC appear to be highly cost effective, but randomized trials are needed to confirm these findings.
INTRODUCTION: Lower-income Americans are suffering from declines in income, health, and longevity over time. Income and employment policies have been proposed as a potential non-medical solution to this problem. METHODS: An interrupted time series analysis of state-level incremental supplements to the Earned Income Tax Credit (EITC) program was performed using data from 1993 to 2010 Behavioral Risk Factor Surveillance System surveys and state-level life expectancy. The cost effectiveness of state EITC supplements was estimated using a microsimulation model, which was run in 2015. RESULTS: Supplemental EITC programs increased health-related quality of life and longevity among the poor. The program costs about $7,786/quality-adjusted life-year gained (95% CI=$4,100, $13,400) for the average recipient. This ratio increases with larger family sizes, costing roughly $14,261 (95% CI=$8,735, $19,716) for a family of three. CONCLUSIONS: State supplements to EITC appear to be highly cost effective, but randomized trials are needed to confirm these findings.
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