Meal Delivery Programs Reduce The Use Of Costly Health Care In Dually Eligible Medicare And Medicaid Beneficiaries

被引:160
作者
Berkowitz, Seth A. [1 ,2 ]
Terranova, Jean [3 ]
Hill, Caterina [4 ]
Ajayi, Toyin [5 ]
Linsky, Todd [6 ]
Tishler, Lori W. [7 ]
DeWalt, Darren A. [8 ]
机构
[1] Univ N Carolina, Div Gen Med & Clin Epidemiol, Sch Med, Chapel Hill, NC 27515 USA
[2] Harvard Med Sch, Med, Massachusetts Gen Hosp, Boston, MA 02115 USA
[3] Community Servings, Rood & Hlth Policy, Jamaica Plain, MA USA
[4] Commonwealth Care Alliance, Res & Evaluat, Boston, MA USA
[5] Sidewalk Labs Care Lab, New York, NY USA
[6] Commonwealth Care Alliance, Boston, MA USA
[7] Commonwealth Care Alliance, Med Affairs, Boston, MA USA
[8] Univ N Carolina, Div Gen Med & Clin Epidemiol, Sch Med, Med, Chapel Hill, NC 27515 USA
基金
美国国家卫生研究院;
关键词
D O I
10.1377/hlthaff.2017.0999
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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.
引用
收藏
页码:535 / 542
页数:8
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