Community Health ROI

Learn how our analytical tool helps communities measure the value of investments in social determinants of health.

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From the opioid crisis to childhood lead exposure, Altarum’s Value of Health tool quantifies the impact of public health issues, giving communities the insight and data needed to respond with precision.

Our Approach

Developed with funding from the Robert Wood Johnson Foundation, the Value of Health tool measures the long-term impacts of investments in the social determinants of health on earnings, health, incarceration, education, and life expectancy. These impacts are converted to an overall dollar impact—and the portion of this impact that consists of health care spending—for a defined community. Results also show how the investment accrues benefits and costs to people and organizations that can influence the investment.


Through the Value of Health tool, Altarum has calculated the economic toll of the opioid crisis —$1 trillion since 2001. We have also estimated that the negative lifetime economic impacts of childhood lead exposure will exceed $84 billion dollars, and the financial burden of health inequities on the US economy. Communities we work with are using these estimates to raise awareness of health challenges, formulate policies, and generate support to fund investments in public health.

Community Health ROI Contact

Contact Us

George Miller

George Miller  - PhD, BSE, MSE

Fellow and Research Team Leader, Center for Value in Health Care

Areas of Expertise
  • Value of Health
  • Low-Value Care
  • Health Economics

Dr. George Miller is a fellow participating in Altarum's efforts to track national spending, analyze the drivers of spending growth, and quantify a sustainable spending growth rate. Dr. Miller received his BSE, MSE, and PhD degrees in industrial and operations engineering from the University of Michigan, where he subsequently served as an adjunct assistant professor.

Ani Turner

Ani Turner  - MA

Co-Director of Sustainable Health Spending Strategies

Areas of Expertise
  • Health Sector Spending
  • Health Equity

With over 25 years of experience working with both government and commercial sector clients, Ani leads Altarum's forecasting work on areas such as health sector spending and employment, as well as on studies focusing on societal impacts of health disparities and equity. Ani holds a bachelor’s degree and a master’s degree in applied economics with a concentration in labor economics, both from the University of Michigan.