Meal Delivery Programs Reduce The Use Of Costly Health Care In Dually Eligible Medicare And Medicaid Beneficiaries
- PMID: 29608345
- PMCID: PMC6324546
- DOI: 10.1377/hlthaff.2017.0999
Meal Delivery Programs Reduce The Use Of Costly Health Care In Dually Eligible Medicare And Medicaid Beneficiaries
Abstract
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.
Keywords: Cost of Health Care; Determinants Of Health; Disparities; Financing Health Care; Medicaid.
Comment in
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Social Determinants Of Health Include Nutrition.Health Aff (Millwood). 2018 Aug;37(8):1341. doi: 10.1377/hlthaff.2018.0555. Health Aff (Millwood). 2018. PMID: 30080468 No abstract available.
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References
-
- Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health affairs (Project Hope). 2002. Mar-Apr;21(2):60–76. PubMed PMID: Epub 2002/03/20. eng. - PubMed
-
- Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health affairs (Project Hope). 2008. May-Jun;27(3):759–69. PubMed PMID: Epub 2008/05/14. eng. - PubMed
-
- Wilensky G Addressing Social Issues Affecting Health to Improve US Health Outcomes. Jama. 2016. April 19;315(15):1552–3. PubMed PMID: Epub 2016/04/20. eng. - PubMed
-
- Coleman-Jensen A, Rabbitt MP, Gregory CA, Singh A. Household Food Security in the United States in 2015. In: United States Department of Agriculture Economic Research Service, editor. 2016.
-
- Bhargava V, Lee JS. Food Insecurity and Health Care Utilization Among Older Adults in the United States. Journal of nutrition in gerontology and geriatrics. 2016. Jul-Sep;35(3):177–92. PubMed PMID: Epub 2016/08/26. eng. - PubMed
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