Infrastructure and 1 more...less...

G5O5. Increase funding and investment throughout Indiana for public health activities

Increase public health funding to Indiana

$762020

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Story Behind the Curve

Public Health Funding

U.S. Value: $116

Healthiest State: Alaska: $449

Least-healthy States: Nevada, Wisconsin: $72

Definition: State dollars dedicated to public health and federal dollars directed to states per person by the Centers for Disease Control and Prevention and the Health Resources & Services Administration (2-year estimate)

Data Source & Year(s): CDC, HRSA and Trust for America's Health, 2019-2020

Suggested Citation: America's Health Rankings analysis of CDC, HRSA and Trust for America's Health, United Health Foundation, AmericasHealthRankings.org, accessed 2022.

WHY DOES THIS MATTER?

Public health systems are important to keeping Americans safe and healthy through prevention, preparedness and surveillance programs and serve as the first line of defense against disease epidemics. The public health response to the COVID-19 pandemic was weakened by chronic underfunding of these systems at the state and national levels. Increased spending on public health programs is associated with a decrease in mortality from preventable causes such as cardiovascular disease, diabetes, stroke and cancer.

Public health program spending represents just around 10% of all health care spending in most countries, yet its impact can be substantial. An investment of $10 per person per year in evidence-based community health programs could save the country more than $16 billion annually. That is a potential savings of $5.60 for every $1 invested.

WHO IS AFFECTED?

Populations that are most affected by public health funding include: 

  • Children and infants, whose coverage for childhood immunizations and developmental screenings have been crucial in protecting infants and children from potentially life-threatening preventable diseases early in life when they are most vulnerable.
  • Low-resource communities: People living in these communities experience the largest health and economic benefits from increased local public health spending. 
  • Medicare enrollees: A 2017 study found a 10% increase in local public health spending per capita was associated with a 0.8% reduction in adjusted Medicare expenditures per person after one year and a 1.1% reduction after five years.

https://www.americashealthrankings.org/explore/annual/measure/PH_funding/state/ALL Last accessed 06/14/2022

What Works

WHAT WORKS?

The effectiveness of a public health intervention, in part, depends on the resources of the community receiving the intervention. Studies have found that public health interventions focusing on behavior change are more successful in populations with a high socioeconomic status, while those with low socioeconomic status or other disadvantages tend to benefit less from these interventions. Adopting a social determinants of health view of public health, which focuses on the conditions in which people live, work and play, is essential to improving health and reducing health disparities. 

The Prevention and Public Health Fund was established by the Affordable Care Act to expand and sustain national investments in evidence-based strategies to improve health outcomes and health care quality. The Prevention Fund supports nearly $893 million in prevention grants throughout the United States to implement programs that aim to improve health for all, including efforts to prevent infectious diseases such as measles and influenza, and chronic diseases like diabetes and heart disease.

 

https://www.americashealthrankings.org/explore/annual/measure/PH_funding/state/ALL Last accessed 06/14/2022

Challenges

Source: Indiana Governor's Public Health Commission Report

The National Academy of Medicine estimated that $24 billion of federal investment would be needed “to build a governmental public health infrastructure that will be able support the type of population health strategies that are needed to improve the health of Americans and limit the growth of expenditures on medical care services.” The CDC's budget (who primarily funds state and LHDs) fell by 2% in 2021 in relation to 2012. Indiana consistently ranks among the lowest states in per capita expenditures. Most Indiana LHDs have Per Capita Funding Levels Below the National Average.

 

Source: https://www.in.gov/health/files/GPHC-Report-FINAL-2022-08-01_corrected.pdf Last accessed 09/19/2022

Corrective Action
PoE

https://www.americashealthrankings.org/explore/annual/measure/PH_funding/state/IN

Last accessed 06/14/2022

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