Inclusion Criteria:  Hospitalized at Kaiser Permanente Santa Rosa, Santa Clara, San Francisco, Oakland, or San Rafael Medical Centers Kaiser Permanente member at admission  Has a prior history of at least one of the following:  Heart failure Diabetes mellitus Chronic kidney disease  Exclusion Criteria:  Receiving primary care at Kaiser Permanente facilities outside of Kaiser Permanente Santa Rosa, Santa Clara, San Francisco, Oakland, or San Rafael Medical Centers Language interpreter needed Admitted from skilled nursing facility or nursing home Homeless at admission Residence outside the geographic area covered by the medically tailored meals vendors Prior history of organ transplant