Clinical–Community Partnerships to Reduce Food Insecurity Among High-Need, High-Cost Medicaid Patients
Authors: Katherine Rediger, D.R. Bailey Miles
Journal: Annals of Internal Medicine (2018)

Ideas and Opinions2 October 2018Clinical–Community Partnerships to Reduce Food Insecurity Among High-Need, High-Cost Medicaid PatientsKatherine Rediger, MSN, CRNP and D.R. Bailey Miles, MDKatherine Rediger, MSN, CRNPJohns Hopkins Community Physicians and Johns Hopkins University School of Nursing, Baltimore, Maryland (K.R.) and D.R. Bailey Miles, MDJohns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-1104 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In 2016, more than 12% of U.S. households experienced food insecurity, defined by the U.S. Department of Agriculture as a "condition of limited or uncertain access to adequate food" (1). Many factors contribute to food insecurity, including poverty, food prices, and geographic availability. Disruptions in food availability are associated with worse health outcomes and increased health care use (2, 3). For example, inadequate healthy food is associated with poor physical and mental health and diseases such as diabetes, hypertension, and depression (2).The Supplemental Nutrition Assistance Program (SNAP), the largest federal food assistance program, aims to reduce food insecurity by ...References1. U.S. Department of Agriculture. Food Security Status of U.S. Households in 2016. September 2017. Accessed at www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics.aspx#foodsecure on 20 January 2018. Google Scholar2. Gundersen C, Ziliak JP. Food insecurity and health outcomes. Health Aff (Millwood). 2015;34:1830-9. [PMID: 26526240] doi:10.1377/hlthaff.2015.0645 CrossrefMedlineGoogle Scholar3. Berkowitz SA, Terranova J, Hill C, Ajayi T, Linsky T, Tishler LW, et al. Meal delivery programs reduce the use of costly health care in dually eligible Medicare and Medicaid beneficiaries. Health Aff (Millwood). 2018;37:535-42. [PMID: 29608345] doi:10.1377/hlthaff.2017.0999 CrossrefMedlineGoogle Scholar4. Waxman E, Gundersen C, Thompson M. How Far Do SNAP Benefits Fall Short of Covering the Cost of a Meal? Urban Institute. 2018. Accessed at www.urban.org/research/publication/how-far-do-snap-benefits-fall-short-covering-cost-meal on 6 April 2018. Google Scholar5. Amarasingham R, Xie B, Karam A, Nguyen N, Kapoor B. Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients. The Commonwealth Fund. 2018. Accessed at www.commonwealthfund.org/publications/issue-briefs/2018/jan/integrating-health-social-services-high-need-high-cost-patients on 27 January 2018. Google Scholar6. Gurvey J, Rand K, Daugherty S, Dinger C, Schmeling J, Laverty N. Examining health care costs among MANNA clients and a comparison group. J Prim Care Community Health. 2013;4:311-7. [PMID: 23799677] doi:10.1177/2150131913490737 CrossrefMedlineGoogle Scholar7. U.S. Government Accountability Office. Medicaid: A Small Share of Enrollees Consistently Accounted for a Large Share of Expenditures. 2015. Accessed at www.gao.gov/assets/680/670112.pdf on 17 June 2018. Google Scholar8. Blumenthal D, Chernof B, Fulmer T, Lumpkin J, Selberg J. Caring for high-need, high-cost patients—an urgent priority. N Engl J Med. 2016;375:909-11. [PMID: 27602661] doi:10.1056/NEJMp1608511 CrossrefMedlineGoogle Scholar9. Phipps EJ, Singletary SB, Cooblall CA, Hares HD, Braitman LE. Food insecurity in patients with high hospital utilization. Popul Health Manag. 2016;19:414-20. [PMID: 27008540] CrossrefMedlineGoogle Scholar10. Freda B, Kozick D, Spencer A. Partnerships for Health: Lessons for Bridging Community-Based Organizations and Health Care Organizations. Center for Health Care Strategies. 2018. Accessed at www.chcs.org/media/CBO-HCO_Partnership_update_032018.pdf on 20 June 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins Community Physicians and Johns Hopkins University School of Nursing, Baltimore, Maryland (K.R.)Johns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1104.Corresponding Author: D.R. Bailey Miles, MD, Johns Hopkins Community Physicians, 1000 East Eager Street, Baltimore, MD 21202; e-mail, [email protected]edu.Current Author Addresses: Ms. Rediger and Dr. Miles: Johns Hopkins Community Physicians, 1000 East Eager Street, Baltimore, MD 21202.Author Contributions: Conception and design: K. Rediger, D.R.B. Miles.Drafting of the article: K. Rediger, D.R.B. Miles.Critical revision of the article for important intellectual content: K. Rediger, D.R.B. Miles.Final approval of the article: K. Rediger, D.R.B. Miles.This article was published at Annals.org on 21 August 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFood Insecurity Is Prevalent in Iowa's Medicaid Expansion PopulationAligning healthcare, public health and social services: A scoping review of the role of purpose, governance, finance and dataExploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needsUnified Approach Needed to Implement Nutrition Support Services 2 October 2018Volume 169, Issue 7Page: 490-491KeywordsFoodHealth careHypertensionInformation storage and retrievalInpatientsMedical conditionsMedicareNutritionPopulation statisticsPsychiatry and mental health ePublished: 21 August 2018 Issue Published: 2 October 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...