Health affairs (Project Hope)最新文献_第7页

Food Is More Than Just Medicine. 食物不仅仅是药物。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2025.00164

Amanda Bank

引用次数: 0

States' Use Of Medicaid Managed Care 'In Lieu Of Services' Authority To Address Poor Nutrition. 各州使用医疗补助管理医疗代替服务的权力来解决营养不良问题。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01349

Kathryn Garfield, Erika Hanson, Carmel Shachar, Pascale Stain, Dariush Mozaffarian

{"title":"States' Use Of Medicaid Managed Care 'In Lieu Of Services' Authority To Address Poor Nutrition.","authors":"Kathryn Garfield, Erika Hanson, Carmel Shachar, Pascale Stain, Dariush Mozaffarian","doi":"10.1377/hlthaff.2024.01349","DOIUrl":"10.1377/hlthaff.2024.01349","url":null,"abstract":"In response to rising health, economic, and equity burdens of suboptimal nutrition, health care stakeholders are increasingly integrating nutritional supports into health care delivery and financing. In January 2023, federal guidance clarified that states may use \"in lieu of services and settings\" (ILOS) authority to address health-related social needs, including nutrition, in Medicaid managed care. However, few data are available regarding ILOS implementation. This analysis reviewed ILOS policies based on managed care documents from forty states as of October 1, 2024. Thirty-five states have authorized ILOS to address behavioral health, and fourteen states have authorized ILOS to address general medical needs. Twelve states use ILOS to address health-related social needs; of these, only ten address nutrition. In addition, fewer than half of the forty states provide robust guidance regarding evaluation or establishment of new ILOSs. We examine the policy implications of these findings and provide recommendations to strengthen the role of ILOS in improving nutrition, health care costs, and health equity.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"422-428"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A New Approach To Guide Research And Policy At The Intersection Of Income, Food, Nutrition, And Health. 在收入、食物、营养和健康的交叉点指导研究和政策的新方法。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01346

Seth A Berkowitz, Hilary K Seligman, Dariush Mozaffarian

{"title":"A New Approach To Guide Research And Policy At The Intersection Of Income, Food, Nutrition, And Health.","authors":"Seth A Berkowitz, Hilary K Seligman, Dariush Mozaffarian","doi":"10.1377/hlthaff.2024.01346","DOIUrl":"10.1377/hlthaff.2024.01346","url":null,"abstract":"Income distribution, food and nutrition insecurity, and poor diet quality contribute to diet-related disease, which is a major threat to population health and health equity. Based on our review and synthesis of the empirical evidence, we provide a new conceptual model for understanding the interrelationships among income, food security, nutrition security, diet quality, and health. We identify directions for future research and discuss the policy and program implications of the model. Overall, interventions that address income and food security can facilitate, but do not ensure, nutrition security and better diet quality, although they can improve health in other ways. Importantly, even people who are food and nutrition secure and have adequate income frequently have unhealthy diets. Addressing these challenges will require innovative policies to improve nutrition security, diet quality, and health. Such policies should include efforts to increase the availability and accessibility of Food Is Medicine interventions in health care. Health insurance coverage for evidence-based, clinically indicated Food Is Medicine programs is critical to the success of these efforts.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"384-390"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medicaid Nutrition Supports Associated With Reductions In Hospitalizations And ED Visits In Massachusetts, 2020-23. 2020-23 年马萨诸塞州医疗补助营养支持与住院和急诊室就诊人次减少的相关性》（Medicaid Nutrition Supports Associated With Reduction In Hospitalizations and ED Visits in Massachusetts, 2020-23）。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01409

Kurt Hager, Meagan Sabatino, Jeffrey Williams, Arlene S Ash, Yara Halasa-Rappel, Julie M Flahive, Hye Sung Min, Gary Sing, Stephanie Buckler, Allison Rich, Jessica Bowman, Jay Himmelstein, Matthew J Alcusky

{"title":"Medicaid Nutrition Supports Associated With Reductions In Hospitalizations And ED Visits In Massachusetts, 2020-23.","authors":"Kurt Hager, Meagan Sabatino, Jeffrey Williams, Arlene S Ash, Yara Halasa-Rappel, Julie M Flahive, Hye Sung Min, Gary Sing, Stephanie Buckler, Allison Rich, Jessica Bowman, Jay Himmelstein, Matthew J Alcusky","doi":"10.1377/hlthaff.2024.01409","DOIUrl":"10.1377/hlthaff.2024.01409","url":null,"abstract":"The Massachusetts Medicaid and Children's Health Insurance Program launched the Flexible Services Program to address food insecurity through partnerships with social service organizations under its Section 1115 demonstration waiver. We evaluated the effects of Flexible Services Program nutritional services (or Food Is Medicine programs) on health care use and costs during the first three-year program cycle (January 2020-March 2023). Our analyses pooled data on 20,403 Flexible Services Program participants from seventeen accountable care organizations. In propensity score-weighted analyses, program participation was associated with a 23 percent reduction in hospitalizations and a 13 percent reduction in emergency department visits compared with the number of hospitalizations and visits for 2,108 eligible nonparticipants. Modestly lower health care costs for Flexible Services Program participants were not statistically significant. Health care costs were $1,721 lower among participants after the COVID-19 emergency (2022-23) and $2,502 lower among adults with more than ninety days of enrollment during all study years (2020-23). These findings are important for Medicaid policy nationwide as other state Medicaid programs pursue similar Section 1115 demonstrations.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"413-421"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing The FDA's Human Foods Program Through Additional Authorities And User Fees. 通过额外的授权和用户费用推进FDA的人类食品计划。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01342

Jennifer L Pomeranz, Sean B Cash, Emily Broad Leib, Dariush Mozaffarian

引用次数: 0

Estimated Impact Of Medically Tailored Meals On Health Care Use And Expenditures In 50 US States. 美国50个州医疗定制餐对医疗保健使用和支出的估计影响。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01307

Shuyue Deng, Kurt Hager, Lu Wang, Frederick P Cudhea, John B Wong, David D Kim, Dariush Mozaffarian

引用次数: 0

Acknowledgments. 致谢。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2025.00111

Don Metz

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Food For Thought: A Vision For Generative 'Food Is Medicine'. 思考的食物：生成“食物就是药”的愿景。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01347

John R Lumpkin, Merry Davis, Valerie Stewart

{"title":"Food For Thought: A Vision For Generative 'Food Is Medicine'.","authors":"John R Lumpkin, Merry Davis, Valerie Stewart","doi":"10.1377/hlthaff.2024.01347","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.01347","url":null,"abstract":"In this article, we review the history of the Food Is Medicine movement, discuss the extractive nature of many Food Is Medicine models in the US, and present our vision for a generative model of Food Is Medicine centered on community-based organizations (CBOs) and local food systems. Many Food Is Medicine initiatives are driven by CBOs, but too often the CBOs participating in these programs are undervalued. The combination of inadequate payment rates, capacity needs, and complex administrative requirements prevents CBOs from realizing their full potential and threatens their sustainability. In a generative model, Food Is Medicine programs operate through mutually supportive partnerships among payers, health systems, and vendors; CBOs have the resources, capacity, and infrastructure needed to source food from small- and medium-size local farms, hire and retain staff with appropriate expertise, and distribute culturally relevant foods tailored to community preferences. Regional systems to manage administration and contracting for Food Is Medicine programs could reduce the burden on CBOs. Philanthropic organizations and health care partners should expand efforts to advance a generative approach to Food Is Medicine.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"391-397"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'Food Is Medicine' In The US: A National Survey Of Public Perceptions Of Care, Practices, And Policies. 在美国，食物就是药物：一项关于公众对护理、实践和政策的看法的全国性调查。

Health affairs (Project Hope) Pub Date : 2025-04-01 Epub Date: 2025-03-12 DOI: 10.1377/hlthaff.2024.00585

Ronit Ridberg, Julia Reedy Sharib, Kathryn Garfield, Erika Hanson, Dariush Mozaffarian

{"title":"'Food Is Medicine' In The US: A National Survey Of Public Perceptions Of Care, Practices, And Policies.","authors":"Ronit Ridberg, Julia Reedy Sharib, Kathryn Garfield, Erika Hanson, Dariush Mozaffarian","doi":"10.1377/hlthaff.2024.00585","DOIUrl":"10.1377/hlthaff.2024.00585","url":null,"abstract":"Poor nutrition in the US causes more than 600,000 deaths and an estimated $1.1 trillion in health care spending and lost productivity annually, as well as profound health disparities. Food Is Medicine interventions, which incorporate nutrition-related services in medical care as part of a care plan to prevent or treat disease, can advance nutrition security, health, and equity. But little is known about public awareness and perceptions of these interventions. We conducted the first national survey on knowledge, perceptions, and experiences around Food Is Medicine during February-April 2023. Fewer than half of respondents said that they received clear food- and nutrition-related advice from their primary health care providers, but a majority expressed interest in participating in Food Is Medicine interventions. More than two-thirds felt that Medicare and Medicaid should help pay for Food Is Medicine programs in health care, and more than half said that private insurance should do so. These results suggest a need for increased nutrition-related training of health care professionals, development of Food Is Medicine accreditation standards for health care organizations, and new regulatory incentives and contract requirements for Medicare Advantage and Medicaid managed care plans to encourage Food Is Medicine interventions in care delivery.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"398-405"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

North Carolina's FarmsSHARE: Farmers, Food Hubs, And Community-Based Organizations Sustain Healthy Food Programs. 北卡罗来纳州的 FarmsSHARE：农民、食品枢纽和社区组织维持健康食品计划。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01344

Amanda Hege, Monica McCann, Dave Walker, Lenwood Edwards, Claire McLendon, Sara Runkel, Roland McReynolds

{"title":"North Carolina's FarmsSHARE: Farmers, Food Hubs, And Community-Based Organizations Sustain Healthy Food Programs.","authors":"Amanda Hege, Monica McCann, Dave Walker, Lenwood Edwards, Claire McLendon, Sara Runkel, Roland McReynolds","doi":"10.1377/hlthaff.2024.01344","DOIUrl":"10.1377/hlthaff.2024.01344","url":null,"abstract":"The North Carolina FarmsSHARE program distributes healthy, locally sourced food to low-income households across nearly 100 counties in the state through the Department of Agriculture's Local Food Purchase Assistance Cooperative Agreement. In this article, we present insights from a cross-sectional survey of stakeholders who were involved in implementing the program. We explore measures of satisfaction, perceived value, economic impact, quality of food, and community relationships within each stakeholder group (farmers, food hubs, and community-based organizations). We also discuss FarmsSHARE's impact on local farms, businesses, and food systems. In 2024, FarmsSHARE connected 217 local farms, 16 food hubs, and 117 community-based organizations that worked together to distribute more than 72,000 healthy food boxes. Our findings suggest that FarmsSHARE is strengthening collaborations and local food systems, specifically through partnerships with farms owned by members of racial and ethnic minority groups, and improving access to nutritionally tailored healthy food boxes for low-income households. These insights can be used to guide efforts to integrate local food within the Food Is Medicine paradigm to address nutrition insecurity and promote more equitable food systems within communities.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"483-491"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0