Medically tailored meals receipt and healthcare utilization and costs in Massachusetts’ Medicaid demonstration - Report - MDSpire

Medically tailored meals receipt and healthcare utilization and costs in Massachusetts’ Medicaid demonstration

  • By

  • Kurt Hager

  • Matthew Alcusky

  • Fang Fang Zhang

  • Gary Sing

  • Arlene Ash

  • Eric Mick

  • Jean Terranova

  • Erin DiBacco

  • Stephanie Buckler

  • Allison Rich

  • Jessica Bowman

  • Sara Folta

  • Kim Prendergast

  • Jasper Frank

  • Cheryl Ball

  • Jenny S. Chiang

  • Dariush Mozaffarian

  • June 2, 2026

  • 0 min

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Impact of Customized Nutritional Meals on Healthcare Use and Expenses in Massachusetts Medicaid Program

Overview

Revise to accurately reflect findings based on evaluations without unsupported claims.

Background

Poor diet is a significant contributor to mortality and healthcare utilization, particularly among low-income populations facing food insecurity. The 'Food is Medicine' (FIM) approach aims to integrate nutrition support into healthcare, potentially improving health outcomes for patients with diet-sensitive conditions. Massachusetts has implemented a large-scale MTM program within its Medicaid system, providing a unique opportunity to assess its effectiveness.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Medically tailored meals (MTMs) were provided to Medicaid members through a partnership with Community Servings.
  • MTMs included ten meals and snacks delivered weekly, tailored by registered dietitian nutritionists.
  • Prior evaluations suggest that MTM recipients may experience better disease management and reduced healthcare utilization.
  • Some studies indicate mixed results regarding the effectiveness of MTMs on healthcare costs and utilization.
  • Massachusetts was the first state to implement large-scale MTM interventions under Section 1115 demonstrations.

Clinical Implications

The findings from this evaluation may inform healthcare providers about the potential benefits of integrating nutrition interventions into patient care. Understanding the impact of MTMs on healthcare utilization can guide future policy and clinical practices.

Conclusion

The evaluation of MTMs within Massachusetts' Medicaid program provides critical insights into the role of nutrition in healthcare management for low-income populations. Further research is needed to fully understand the long-term effects of such interventions.

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  2. Journal of General Internal Medicine, 2025 -- A Stepped-Wedge Cluster-Randomized Trial to Increase Home Health Referrals for Medicaid-Insured Patients: The Thrive Trial
  3. Kaiser Family Foundation (KFF), 2025 -- Medicaid Changes in House and Senate Reconciliation Bills Would Increase Costs for 1.3 Million Low-Income Medicare Beneficiaries
  4. Kaiser Family Foundation (KFF), 2025 -- A Look at New or Expanded Medicaid and Public Health Partnerships from 2025: Findings from A Survey of State Medicaid Programs
  5. American Heart Association, 2025 -- ‘Food is medicine’ shows potential for improving diet quality and food security
  6. Medicaid, 2025 -- In Lieu of Services and Settings
  7. Mass.gov, 2025 -- Information for MassHealth ACOs and HRSN Providers
  8. Mass.gov, 2025 -- MassHealth Nutrition Program Reduces Health Care Costs and Hospital Visits According to UMass Chan Medical School Study
  9. Health Related Social Needs (HRSN) Services Update for the Massachusetts Health Care Training Forum, 2025
  10. PubMed, 2025 -- Estimated Impact Of Medically Tailored Meals On Health Care Use And Expenditures In 50 US States
  11. JAMA Internal Medicine, 2025 -- Produce Prescription Subsidy for Patients With Diabetes: A Pragmatic Randomized Clinical Trial
  12. Journal of General Internal Medicine, 2025 -- Impact of Medically Tailored Meals on Clinical Outcomes Among Low-Income Adults with Type 2 Diabetes: A Pilot Randomized Trial
  13. ‘Food is medicine’ shows potential for improving diet quality and food security
  14. In Lieu of Services and Settings | Medicaid
  15. Information for MassHealth ACOs and HRSN Providers | Mass.gov
  16. MassHealth Nutrition Program Reduces Health Care Costs and Hospital Visits According to UMass Chan Medical School Study | Mass.gov
  17. Health Related Social Needs (HRSN) Services Update for the Massachusetts Health Care Training Forum (MTF) | |
  18. Estimated Impact Of Medically Tailored Meals On Health Care Use And Expenditures In 50 US States - PubMed
  19. Produce Prescription Subsidy for Patients With Diabetes: A Pragmatic Randomized Clinical Trial | Trials | JAMA Internal Medicine | JAMA Network
  20. Impact of Medically Tailored Meals on Clinical Outcomes Among Low-Income Adults with Type 2 Diabetes: A Pilot Randomized Trial | Journal of General Internal Medicine | Springer Nature Link

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