The most common eligibility diagnoses were cardiovascular diseases (70.6%), diabetes (44.9%), and cancer (37.2%). Mean (SD) age was 68.1 (16.6) years most were female (63.4%), were non-Hispanic White (66.7%), and had Medicare and/or Medicaid (76.5%). Results At the 2019 baseline, an estimated 6 309 998 US adults were eligible to receive MTMs. ![]() One thousand Monte Carlo simulations for each of 10 years (2019-2028) jointly incorporated uncertainty in model inputs for effect sizes, hospitalizations, health care expenditures, and program costs. Main Outcomes and Measures The main outcomes were total hospitalizations, program costs, health care expenditures, and net policy costs. Interventions Ten nutritionally tailored MTMs per week for a mean of 8 months in each year of intervention. Participants were 6 309 998 US adults aged 18 years or older who had Medicare, Medicaid, or private payer insurance and at least 1 diet-sensitive condition and 1 limitation in instrumental activities of daily living. Objective To estimate 1- and 10-year potential changes in annual hospitalizations, potential changes in annual health care expenditures, and overall policy cost-effectiveness associated with national MTM coverage for US patients with diet-related disease and limited instrumental activities of daily living who have Medicaid, Medicare, or private insurance.ĭesign, Setting, and Participants In this economic evaluation, conducted from January 2021 to February 2022, a nationally representative sample from the 2019 Medical Expenditure Panel Survey was used to create a population-level cohort policy simulation model that estimated changes in annual hospitalizations and health care expenditures associated with coverage of MTMs. The potential impact of extending insurance coverage for MTMs nationally remains unknown. Importance Medically tailored meals (MTMs) are associated with lower health care utilization among patients with complex diet-related diseases but are not a covered benefit in Medicare or Medicaid. Shared Decision Making and Communication. ![]()
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