Impact of Medically Tailored Meals on Obesity, Other Health Outcomes, and Healthcare Utilization under Medicaid Flexible Services

医用定制膳食对肥胖、其他健康结局和医疗服务利用的影响 在医疗补助灵活服务下 摘要/摘要 医疗定制餐(MTM)干预措施迅速引起医疗系统、支付者、 病人和政策制定者。MTM是完全准备好的，营养上定制的，通常是家庭递送的 为患有糖尿病、心脏病等严重和昂贵的饮食敏感型疾病的人提供健康饮食 衰竭、终末期肾病、艾滋病毒和癌症。膳食计划由注册营养师设计 基于诊断和营养评估。几项初步研究表明，MTM 这些计划可以降低高危患者的医疗利用率和医疗成本。对肥胖的影响， 血糖控制和相关的健康结果还没有得到评估。这项合作计划将评估 MTM对肥胖、糖尿病控制、血压、医疗利用和医疗费用的影响 根据马萨诸塞州联邦正在进行的医疗补助试点，涉及该州的多家医院。 这是一个科学上令人信服的研究机会，具有国家意义，将研究人员聚集在一起， 以社区为基础的组织、大型非营利医疗保健系统和州政府。

Impact of Medically Tailored Meals on Obesity, Other Health Outcomes, and Healthcare Utilization under Medicaid Flexible Services Summary/Abstract Medically tailored meal (MTM) interventions are of rapidly growing interest to healthcare systems, payers, patients, and policy makers. MTMs are fully prepared, nutritionally customized, and generally home-delivered healthy meals for individuals living with advanced and costly diet-sensitive conditions, such as diabetes, heart failure, end stage renal disease, HIV, and cancer. Meal plans are designed by a registered dietitian nutritionist based on diagnoses and nutritional assessment. Several preliminary studies have suggested that MTM programs can reduce healthcare utilization and healthcare costs for high-risk patients. Impacts on obesity, glucose control, and related health outcomes have not been evaluated. This collaborative initiative will assess the impacts of MTMs on obesity, diabetes control, blood pressure, healthcare utilization, and healthcare costs under an ongoing Commonwealth of Massachusetts’ Medicaid pilot involving multiple hospitals in the state. This is a scientifically compelling research opportunity with national relevance, bringing together researchers, community-based organizations, large nonprofit health care systems, and state government.