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FOOD IS MEDICINE
ROBERT GREENWALD, JD
FACULTY DIRECTOR & CLINICAL PROFESSOR OF LAW
FOOD IS MEDICINE PYRAMID
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FOOD IS MEDICINE R OBERT G REENWALD , JD F ACULTY D IRECTOR & C - - PowerPoint PPT Presentation
FOOD IS MEDICINE R OBERT G REENWALD , JD F ACULTY D IRECTOR & C - - PowerPoint PPT Presentation
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
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RESEARCH
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vMedically-Tailored Meals:*
v MANNA Medicaid Study (2013): v Medicaid Managed Care members with 3+ chronic conditions v 28% reduction in Medicaid Managed Care member costs (study cohort; pre- service and post-service) v 50% fewer hospital admissions (vs. control group) v Shorter stays when admitted (vs. v control group) v 23% more likely to be discharged home (vs. control group) v MANNA Private Insurance (2017):* v Health Partners Plans (PA) à) for members with uncontrolled diabetes v 32% drop in hospital admissions v 8% drop in ED visits
vMedically-Tailored Food Boxes:*
v Feeding America Study (2015): v Food bank clients with diabetes v ↑ glycemic control v ↑ medication adherence v ↑ fruit/vegetable consumption v ↑ self-efficacy v ↓ food/medication tradeoffs
* Jill Gurvey et al., Examining Healthcare Costs Among MANNA Clients And A Comparison Group, 4 J.
OF PRIMARY CARE & COMMUNITY HEALTH, 311-312 (2013).
* Seligman et al., A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients in Three States, 34 HEALTH AFFAIRS 11, 1956-1963 (2015)
* 11 new studies in progress on medically-tailored meals. Other studies in progress across the continuum.
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EARLY INNOVATORS: PUBLIC AND PRIVATE INSURANCE
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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
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CALL TO ACTION
- 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
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