Table 1. Inputs for Policy Simulation Model to Estimate 1-Year and 10-Year Change in Hospitalizations and Health Care Expenditures Associated With Provision of MTMs and Net Policy Costs.
Input | Data source | Details |
---|---|---|
Annual inpatient admissions and health care expenditures stratified by insurance status | Medical Expenditure Panel Survey administered by the Agency for Healthcare Research and Quality15 | Data source was used to identify model sample and estimate eligible population |
Estimated policy effect sizes | Original meta-analysis of 5 published MTM studies that assessed associations of MTM receipt with inpatient hospitalizations and/or health care expenditures5,6,7,8,22,a | Effect sizes include pooled relative risks of inpatient hospitalizations and percentage change in health care expenditures |
MTM costs from insurance contracts | Original survey to Food Is Medicine Coalition organizations4 administered from August to September 2021 | Survey included questions about 2019 annual meals delivered, participants served, organization expenditures, and monthly meal costs from insurance contracts; 11 of the 15 organizations asked to complete the survey responded |
Screening and referral costs | Medicare reimbursement rates for an initial medical nutrition therapy assessment by a registered dietitian nutritionist23 | One-time added cost for each eligible MTM recipient in each year of the policy simulation model |
Abbreviation: MTM, medically tailored meal.
Details are given in eTables 2 and 3 in the Supplement.