Win-Win Project: UCLA Center for Health Advancement

The Win-Win project is a long-term initiative of the Center for Health Advancement at the Fielding School of Public Health, UCLA. It provides good science that drives change by showing the health impact to populations and value to governments of policies, systems, and programmatic innovations. The project provides a standardized, unbiased economic analysis of interventions to help public health officials make informed policy decisions and engage in collaboration with other sectors.

The Win-Win team conducted systematic literature searches to identify more than 1,100 studies of social and public health programs and policies. Of these, we narrowed the list to 75 based on timeline, number and significance of effect sizes, and probability of positive returns. We then developed an economic modeling tool that measures the impact of an intervention on health, crime and education outcomes. The model encompasses a set of standard assumptions across all programs and policies modeled, and a uniform approach to estimating impact. Modeling of each specific program or policy begins with a systematic review of the literature, and uses extracted effect sizes to estimate the anticipated impact (if any) on health, education, crime, and on the use of public services such as special education, Medicaid, incarceration, and so on. A target population is then described through the estimation of baseline rates of all the areas that the literature review has suggested may be affected. Where no direct effects have been measured in the literature, estimates of indirect effects are developed from the literature. The results of the economic model quantify the impact that the program or policy would have on health, education and criminal justice outcomes over a 50-year time period if implemented. We also calculate the return on investment for local and state government. Read more about the methodology on the Win-Win project website.

The Project team has modeled over a dozen interventions with targeted results for cities, counties and states nationwide. All of the results are available on the Win-Win project website, organized by intervention name and jurisdiction where it was modeled. We continue to add interventions and jurisdictions to the site.

To access Win-Win's website and data: Click Here   

Frederick Zimmerman

Department of Health Policy and Management

Jonathan Fielding

Department of Health Policy and Management