Current Project
Quantifying the Cost Savings of Spending Time in Nature
Researchers:
Jingjing (Tina) Tao,
Gregory Bratman,
Josh Lawler,
Sergey Rabotyagov,
Spencer Wood
We’re thrilled to announce that we have received a McIntire-Stennis Cooperative Forestry Research award to begin assessing the cost savings of spending time in nature in Washington state.
Expanding equitable access to nature provides innumerable returns—from buffering against the effects of climate change to reducing chronic disease. These co-benefits can improve the well-being of communities and advance conservation goals, all while providing significant cost savings: a triple-win! Translating this research into systemic change—such as policies for equitable access to parks and forests—requires informing decision-makers about how time spent in nature will make our communities happier and healthier. It also requires us to demonstrate how governments, healthcare insurers, and healthcare facilities will save money by expanding access to safe, culturally-relevant green spaces.
In March 2025, the UW Center for Nature and Health received a McIntire-Stennis Cooperative Forestry Research award to begin assessing the healthcare costs savings of spending time in nature in Washington state. One of the first steps in this process is understanding the economic costs and benefits of policies that expand access to nature. Researchers across the globe have begun to calculate different types of values for these benefits, and have found that nature contact results in reduced healthcare costs associated with lower insurance spending,1 healthcare bills,2 premature deaths,3 Medicare spending,4 etc. For example, in California, a rigorous analysis by Van Den Eeden et al. found up to an 8% reduction in healthcare costs plausibly attributable to better access/exposure to green space.5
While some recent work has focused on aggregate healthcare spending, individual-level data are necessary to provide insight on precise associations, and to investigate the causal impacts of nature exposure on health for specific beneficiaries. However, individual-level health and healthcare expenditure data are confidential. Gaining access to and using such data is beyond the scope of this work. This study will therefore leverage existing research and take a benefit transfer approach to estimate the healthcare cost savings provided by the forests and other natural areas in Washington.
Benefit transfer analysis involves using an existing model built in a different location or in a different context to predict economic benefits in a specific area or context of interest (as done, for example, by Kondo et al.).6 We will use existing economic models designed to assess healthcare cost savings provided by natural spaces and apply the model(s) to Washington-specific spatial data on the distribution of forests and other green spaces and Washington-specific demographic data. By producing an estimate of the healthcare savings provided by Washington forests, we aim to inform policies and programs that advance equitable access to forests and the health benefits they provide.
Objectives
- To perform a systematic review of the literature focused on assessing the medical cost benefits of time spent in natural settings.
- To estimate the economic contribution of Washington forests and other green spaces through healthcare cost reductions using a benefit transfer approach.
- To build on an existing body of work using a function transfer method, which adjusts for site-specific characteristics in Washington.
- To build tools capable of quantifying potential healthcare cost savings under different urban and rural greening scenarios across the state.
- To incorporate equity considerations by identifying communities that are socioeconomically disadvantaged and may stand to benefit the most from increased green space.
Expected Results
The proposed study will produce two policy-relevant products:
- First, we will synthesize the current state of knowledge of the health-related economic benefits of natural lands.
- Second, we will produce tools capable of estimating healthcare savings costs provided by forests and other green spaces.
We will work with our network of community, state, county, and city partners to ensure that the results of the study are presented to Washington policymakers. Ultimately, the study will highlight the importance of preserving and expanding green spaces as a fundamental component of public health and economic policy in Washington, with particular attention to promoting health equity and addressing health disparities among socioeconomically disadvantaged and marginalized communities.
Timeline and Updates
We anticipate beginning this project in fall 2025, and will share progress updates on this webpage.
Team
- Jingjing (Tina) Tao, PhD student
Graduate research assistant, UW School of Environmental and Forest Sciences
- Gregory Bratman, PhD
Associate professor, UW School of Environmental and Forest Sciences
Director, UW Environment and Well-Being Lab
Co-director, UW Center for Nature and Health
Senior fellow, JPB Environmental Health Fellowship Program
- Josh Lawler, PhD
Professor, UW School of Environmental and Forest Sciences
Orin and Althea Soest Professor
Director, UW Landscape Ecology and Conservation Lab
Faculty director, UW Botanic Gardens
Co-director, UW Center for Nature and Health
- Sergey Rabotyagov, PhD
Associate professor, UW School of Environmental and Forest Sciences
- Spencer Wood, PhD
Principal research scientist and Data Science Fellow, eScience Institute
Affiliate assistant professor, UW School of Environmental and Forest Sciences
Director, UW Outdoor Recreation & Data Lab
Senior fellow, Natural Capital Project
Steering committee member, UW Center for Nature and Health
Support

This work is supported by the McIntire-Stennis (MS) Cooperative Forestry Research Program from the U.S. Department of Agriculture’s National Institute of Food and Agriculture. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and should not be construed to represent any official USDA or U.S. Government determination or policy.
Conducting this analysis is just one step in working toward a future where decision-makers, policy-makers, healthcare insurers, healthcare providers, and employers understand the tangible benefits of expanding equitable engagement with nature. If you would like to support this initiative and its follow-on projects, consider making an online donation or reaching out to natureandhealth@uw.edu to discuss ways to get involved.
References
- Becker, D. A., Browning, M. H., Kuo, M., & Van Den Eeden, S. K. (2019). Is green land cover associated with less health care spending? Promising findings from county-level Medicare spending in the continental United States. Urban Forestry & Urban Greening, 41, 39-47. doi.org/10.1016/j.ufug.2019.02.012
- Van Den Eeden, S. K., Browning, M. H., Becker, D. A., Shan, J., Alexeeff, S. E., Ray, G. T., … & Kuo, M. (2022). Association between residential green cover and direct healthcare costs in Northern California: An individual level analysis of 5 million persons. Environment International, 163, 107174. doi.org/10.1016/j.envint.2022.107174
- Kondo, M. C., Mueller, N., Locke, D. H., Roman, L. A., Rojas-Rueda, D., Schinasi, L. H., … & Nieuwenhuijsen, M. J. (2020). Health impact assessment of Philadelphia’s 2025 tree canopy cover goals. The Lancet Planetary Health, 4(4), e149-e157. doi.org/10.1016/S2542-5196(20)30058-9
- Becker, D. A., & Browning, M. H. (2021). Total area greenness is associated with lower per-capita Medicare spending, but blue spaces are not. City and Environment Interactions, 11, 100063. doi.org/10.1016/j.cacint.2021.100063
- Van Den Eeden, S. K., Browning, M. H., Becker, D. A., Shan, J., Alexeeff, S. E., Ray, G. T., … & Kuo, M. (2022). Association between residential green cover and direct healthcare costs in Northern California: An individual level analysis of 5 million persons. Environment International, 163, 107174. doi.org/10.1016/j.envint.2022.107174
- Kondo, M. C., Mueller, N., Locke, D. H., Roman, L. A., Rojas-Rueda, D., Schinasi, L. H., … & Nieuwenhuijsen, M. J. (2020). Health impact assessment of Philadelphia’s 2025 tree canopy cover goals. The Lancet Planetary Health, 4(4), e149-e157. doi.org/10.1016/S2542-5196(20)30058-9