UCLA research shows dramatic savings for Medicaid when head start parents learn to care for kids

Posted in: Head Start
November 8, 2007

New research proves that a "dose" of hands-on health care training  can transform parents' abilities to care for common childhood ailments  at home - and save Medicaid millions of dollars annually.

Tracking 9,240 Head Start families enrolled in a health literacy  program - and impacting nearly 20,000 children in 35 states -  researchers found that visits to a hospital ER or clinic dropped by 58  percent and 42 percent, respectively, as parents opted to treat their  children's fevers, colds and earaches at home. This added up to a  potential annual savings to Medicaid of $554 per family in direct costs  associated with such visits, or about $5.1 million annually, according  to the UCLA/Johnson & Johnson Health Care Institute for Head Start,  which conducted the study.

Moreover, parents' being better informed about handling their  children's health needs translated to a 42 percent drop in the average  number of days lost at work (from 6.7 to 3.8) and 29 percent drop in  days children lost at school (from 13.3 to 9.5). Parents also reported  feeling more confident in making health care decisions and in sharing  knowledge with others in their families and communities.

Underwritten by Johnson & Johnson, the program carried a  one-time cost of $60 per family on average, including pre-visits,  hands-on training sessions and post-training follow up. Using $320 as  the average cost for a visit to a hospital's emergency room and $80 for  a clinic visit, researchers at UCLA Anderson School of Management,  which houses the Institute, estimated that savings could reach many  millions per year if training were provided for the nearly one million  families served by Head Start, many of whom depend on Medicaid. The  Institute's 10-year goal is to serve 400,000 Head Start families,  reaching approximately half the Head Start agencies in the United  States.

"Head Start parents want to be the first line of defense in their  children's health care, and our research leaves no doubt that they can  be, once they have the tools to make the best choices," said Ariella  Herman, Ph.D., Research Director of the Health Care Institute at UCLA  Anderson School of Management and author of the study , which builds on  the findings of the Institute's groundbreaking pilot study that was  published in 2004.

Full text available at EurekAlert