FOOD IS MEDICINE R OBERT G REENWALD , JD F ACULTY D IRECTOR & C LINICAL P ROFESSOR OF L AW
F OOD IS M EDICINE P YRAMID Center for Health Law and Policy Innovation 2
R ESEARCH v Medically-Tailored Meals:* v Medically-Tailored Food Boxes:* v MANNA Medicaid Study (2013): v Feeding America Study (2015): v Medicaid Managed Care members with 3+ v Food bank clients with diabetes chronic conditions v ↑ glycemic control v 28% reduction in Medicaid Managed v ↑ medication adherence Care member costs (study cohort; pre- v ↑ fruit/vegetable consumption service and post-service) v ↑ self-efficacy v 50% fewer hospital admissions (vs. v ↓ food/medication tradeoffs control group) v Shorter stays when admitted (vs. v control group) v 23% more likely to be discharged home * 11 new studies in progress on (vs. control group) medically-tailored meals. Other studies in progress across the continuum. v MANNA Private Insurance (2017):* v Health Partners Plans (PA) à ) for members with uncontrolled diabetes * Jill Gurvey et al., Examining Healthcare Costs Among MANNA Clients And A Comparison Group , 4 J. v 32% drop in hospital admissions OF P RIMARY C ARE & C OMMUNITY H EALTH , 311-312 (2013). * Seligman et al., A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved v 8% drop in ED visits Glycemic Control Among Clients in Three States, 34 H EALTH A FFAIRS 11, 1956-1963 (2015) Center for Health Law and Policy Innovation 3
E ARLY I NNOVATORS : P UBLIC AND P RIVATE I NSURANCE v Hundreds of contracts between medically-tailored meal providers and health plans nationwide v Managed long-term care recipients in Medicaid (waiver programs) v Dual eligible (Medicare & Medicaid) v Program of All-Inclusive Care for the Elderly (PACE) programs v Medicare Advantage hospital-discharge programs v Additional contracts for nutritional counseling/grocery programs v Health Partners Plans (PA) v Initially for a limited number of patients living with uncontrolled diabetes. Now program upper limit expanded to increase # members served and additional health conditions added v California Medi-Cal Medically-Tailored Meal Demonstration Pilot v State legislature appropriated $6 million over three years to test administration of medically- tailored meals on beneficiaries with certain health conditions in 7 densely-populated countries across the state Center for Health Law and Policy Innovation 4
C ALL TO A CTION 1. Promote opportunities to replicate and expand innovative Food is Medicine initiatives within Medicaid and Medicare 2. Create pilot programs to demonstrate the power of the Food is Medicine model through CMMI and Farm Bill initiatives 3. Promote Food is Medicine research at NIH and CDC Center for Health Law and Policy Innovation 5
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