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Meal Delivery Programs Reduce The Use Of Costly Health Care In Dually Eligible Medicare And Medicaid Beneficiaries
Open accessAbstract
Delivering food to nutritionally vulnerable patients is important for addressing these patients' social determinants of health. However, it is not known whether food delivery programs can reduce the use of costly health services and decrease medical spending among these patients. We sought to determine whether home delivery of either medically tailored meals or nontailored food reduces the use of selected health care services and medical spending in a sample of adults dually eligible for Medicare and Medicaid. Compared with matched nonparticipants, participants had fewer emergency department visits in both the medically tailored meal program and the nontailored food program. Participants in the medically tailored meal program also had fewer inpatient admissions and lower medical spending. Participation in the nontailored food program was not associated with fewer inpatient admissions but was associated with lower medical spending. These findings suggest the potential for meal delivery programs to reduce the use of costly health care and decrease spending for vulnerable patients.
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A study of direct food provision was the only included study to examine health care costs.
“A study of direct food provision was the only included study to examine health care costs. 23”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [23]
Both meal program groups had lower medical spending than the control group, with highest savings in the medically tailored meal group.
“Both meal program groups had lower medical spending than the control group, with highest savings in the medically tailored meal group (Table 3).”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [23]
Only patients receiving medically tailored meals had fewer inpatient admissions.
“Patients who received medically tailored or nontailored meals had fewer ED visits and less use of emergency transportation, while only those receiving medically tailored meals had fewer inpatient admissions.”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [23]
Patients who received medically tailored or nontailored meals had fewer ED visits and less use of emergency transportation.
“Patients who received medically tailored or nontailored meals had fewer ED visits and less use of emergency transportation, while only those receiving medically tailored meals had fewer inpatient admissions.”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [23]
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“Food Is Medicine” Strategies for Nutrition Security and Cardiometabolic Health Equity
Mozaffarian, D., Aspry, K. E., Garfield, K., Kris-Etherton, P., Seligman, H., Velarde, G. P., Williams, K., & Yang, E. (2024) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2023.12.023 · Cited by 219
Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review
De Marchis, E. H., Torres, J. M., Benesch, T., Fichtenberg, C., Allen, I. E., Whitaker, E. M., & Gottlieb, L. M. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2412 · Cited by 195
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Metadata
- Authors
- Berkowitz, S. A., Terranova, J., Hill, C., Ajayi, T., Linsky, T., Tishler, L. W., & DeWalt, D. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Community Servings (US)
- Caterina Hill is director of research and evaluation at Commonwealth Care Alliance, in Boston.
- Toyin Ajayi is chief health officer of Sidewalk Labs Care Lab, in New York City.
- Todd Linsky is senior business intelligence informatics analyst at Commonwealth Care Alliance.
- Lori W. Tishler is vice president of medical affairs at Commonwealth Care Alliance.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2018-04
- Volume
- 37
- Issue
- 4
- Pages
- 535-542
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC6324546
- OpenAlex
- W2795783030
- Cited by
- 222
- References
- 2
- Citations by year
- 2026: 20 · 2025: 37 · 2024: 32 · 2023: 34 · 2022: 20 · 2021: 22 · 2020: 19 · 2019: 24 · 2018: 13
- FWCI
- 29.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK109200, L30 DK103291)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Keywords
- medically tailored meals, dual eligibles, Medicare and Medicaid, emergency department visits, hospitalization, health care costs, social determinants of health, food insecurity
- MeSH terms
- Aged, Emergency Service, Hospital, Health Expenditures, Female, Food Services, Medicare, Hospitalization, Humans, Male, Medicaid, Middle Aged, Patient Acceptance of Health Care, United States
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