Adherence
Implementing a 30% financial subsidy on fruits and vegetables through Medicare and Medicaid is highly cost-effective, preventing cardiovascular disease events and generating substantial quality-adjusted life years (QALYs).
For policymakers, subsidizing fruits and vegetables by 30% for Medicare and Medicaid recipients is a highly cost-effective strategy to improve public health. The model predicts significant reductions in cardiovascular disease and diabetes cases, leading to substantial long-term healthcare cost savings that offset the initial subsidy costs.
From a healthcare perspective, both scenarios were cost-effective at 5 years and beyond, with lifetime ICERs of $18,184/QALY (F&V incentive)... Results were robust in probabilistic sensitivity analyses...
Why this rating
High-quality microsimulation model using national data (NHANES) and meta-analyses, though it is a simulation rather than a direct RCT.
Source
Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: A microsimulation study
Yujin Lee et al. · PLoS Medicine · 2019
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