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

Autor:	Berkowitz SA; Seth A. Berkowitz ( seth_berkowitz@med.unc.edu ) is an assistant professor of medicine in the Division of General Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill. During the time of the study, he was an assistant professor of medicine at Massachusetts General Hospital/Harvard Medical School, in Boston., Terranova J; Jean Terranova is director of food and health policy at Community Servings, in Jamaica Plain, Massachusetts., Hill C; Caterina Hill is director of research and evaluation at Commonwealth Care Alliance, in Boston., Ajayi T; Toyin Ajayi is chief health officer of Sidewalk Labs Care Lab, in New York City., Linsky T; Todd Linsky is senior business intelligence informatics analyst at Commonwealth Care Alliance., Tishler LW; Lori W. Tishler is vice president of medical affairs at Commonwealth Care Alliance., DeWalt DA; Darren A. DeWalt is the John Randolph and Helen Barnes Chambliss Distinguished Professor of Medicine, Division of General Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill.
Jazyk:	angličtina
Zdroj:	Health affairs (Project Hope) [Health Aff (Millwood)] 2018 Apr; Vol. 37 (4), pp. 535-542.
DOI:	10.1377/hlthaff.2017.0999
Abstrakt:	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.
Databáze:	MEDLINE
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