Food Is Medicine · 2025 Outcomes Report

Medically tailored groceries as a supplemental benefit.

Pre/post outcomes from 102 matched member pairs across four SSBCI program cohorts. September–December 2025. Diabetes · Depression · Chronic Illness.

n=102 matched pairsSSBCI BenefitSept–Dec 2025
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Published by FareRx Member Hospitality Group · Philadelphia, PA

102
matched pre/post member pairs
72–84%
more likely to stay with their plan
89–92%
maintained or improved med adherence
4.90/5
average delivery satisfaction
Executive Summary

What the data shows.

72–84% of members said this benefit makes them more likely to stay with their health plan.

What it means

Members directly attribute plan loyalty to this grocery benefit.

Why it matters

In a competitive MA market, member retention has a measurable dollar value.

89–92% of members maintained or improved medication adherence over the program period.

What it means

The benefit supports not just nutrition, but compliance behaviors that drive total cost of care.

Why it matters

Non-adherence costs the US healthcare system approximately $300B per year.

12-week members showed 3.7× greater improvement in medication adherence than 4-week members.

What it means

Longer programs compound the effect. Duration is a clinical design variable, not a budget one.

Why it matters

Plans can calibrate duration to population risk level and expected ROI threshold.

Members reported significant gains in grocery shopping and meal-planning confidence by program end.

What it means

These are validated behavioral health indicators correlated with consistent healthy food choices.

Why it matters

Behavioral change is a leading indicator for A1c control, ER avoidance, and readmission reduction.

The Problem

Food insecurity is a financial risk — not just a social one.

More than 44 million Americans experience food insecurity. For health plans managing Medicare Advantage populations with diabetes, depression, and chronic illness, this is a total-cost-of-care problem. Food-insecure members with diabetes have substantially higher rates of ER utilization, medication non-adherence, and preventable readmissions.

CMS recognized this in 2018, introducing Special Supplemental Benefits for the Chronically Ill (SSBCI) — a direct policy pathway for plans to fund food and nutrition services with measurable clinical rationale. All FareRx programs described here were deployed as SSBCI benefits.

$20K+
Avg annual spend for an MA member with diabetes + depression
44M+
Americans experiencing food insecurity today
49 states
Where MTM coverage is modeled as net cost-saving (Health Affairs, 2025)
Program Design

Two high-need cohorts. One consistent signal.

Oct–Dec 2025 · n=79 matched pairs

4-Week Program

Members diagnosed with diabetes and depression enrolled through a health-plan SSBCI benefit. Four weekly deliveries of medically tailored groceries curated by FareRx dietitians for glycemic management and nutritional quality.

DiabetesDepressionSSBCI
Sept–Dec 2025 · n=23 matched pairs

12-Week Extended Care

Low-Income Subsidy (LIS)-eligible members with at least one qualifying chronic illness. Twelve consecutive weekly deliveries, designed to measure whether sustained nutritional support compounds behavioral change beyond the 4-week baseline.

LIS-EligibleChronic Illness12 WeeksSSBCI
Dose-Response Signal

Duration amplifies impact. Up to 3.7×.

The 12-week program produced 3.3–3.7× larger gains than the 4-week program across the most consequential metrics. Program duration is not a budget variable — it's a clinical design variable.

3.7×
Med-adherence multiplier — 12-week gain (+0.22) vs 4-week gain (+0.06)
Meal confidence
4-week
+0.13
12-week
+0.44
Grocery confidence
4-week
+0.31
12-week
+0.42
Med adherence
4-week
+0.06
12-week
+0.22

Note on negative deltas in the full report: a slight self-rated-health decline reflects higher-acuity members at baseline, and the vegetable-servings decline reflects a ceiling effect (a pre-score of 4.88/5 leaves minimal room for measured improvement).

Geographic Reach

Serving the communities that need it most.

12-Week Extended Care members spanned 24 ZIP codes across the Philadelphia region.

7
Philadelphia ZIPs with high food-access barriers (USDA FARA)
3
Philadelphia ZIPs with moderate food-access challenges
14
Suburban ZIPs across Delaware, Bucks & Montgomery Counties
191321913919142191431913419144191241915019148191261911619111191361906119064190781905019026190361901519020190021906719525

Food-access classification based on USDA FARA 2019. ZIP data from the 12-Week Extended Care Program only.

Operational Quality

Every delivery is a brand touchpoint for your plan.

98–100% of members confirmed their driver was on-time, respectful, and represented the health plan professionally. That's brand equity, not just a logistics stat.

4.90/5
Average delivery rating
98%
On-time, combined cohorts
99%
Driver quality confirmed
In Their Own Words

What members said.

“I loved the program so much, I wish it was longer! Every Friday I looked forward to it. Everything was really good, fresh, and packaged well.”

“It's an excellent program, especially for people like me who don't get out of the house much.”

“I would like to thank you all for thinking about me and others like me that sometimes don't get a chance to shop. The program is an excellent reminder of what we should be eating!”

“We ate more salad than we ever had before. It was an absolute blessing.”

“She made sure to write down all the new things she tried so she could keep eating them.”

“It was one of the only deliveries that ran smoothly for me. An exceptional program with outstanding service.”

Recorded by FareRx program navigators during exit interviews. Sept–Dec 2025.

For Health Plan Partners

Four questions. Four data-backed answers.

Q1 · Does it affect member retention?

Yes. 72–84% of members said FareRx makes them more likely to stay with their plan. In a competitive MA market with $500–$1,500 member acquisition costs, retention is measurable ROI.

Q2 · Does it affect the behaviors that drive downstream cost?

Yes. Medication adherence was maintained or improved in 89–92% of all members. The 12-week LIS cohort showed a +0.22 gain on a 5-point adherence scale.

Q3 · Is there a dose-response?

Yes. The 12-week program produced 3.3–3.7× larger behavioral gains than the 4-week program. For LIS-eligible populations, duration should be a benefit-design input, not a budget variable.

Q4 · Can it be delivered at scale with operational consistency?

Yes. 4.90/5 average delivery satisfaction, 100% on-time delivery (December cohort), and 100% fresh-produce confirmation across 24 ZIP codes and 102 member interactions.

Supporting Literature

FareRx in context.

FareRx program-level outcomes are directionally consistent with — and in key metrics exceed — findings from peer-reviewed Food Is Medicine research.

MetricPublished literatureFareRx 2025
A1c reduction (MTM, food-insecure DM)0.3–2.0% (Berkowitz 2019)Clinical data pending*
Medication adherence maintenanceImproved in MTM arms89–92% maintained or improved
Healthcare cost savings (modeled)Net-saving in 49/50 statesOutcomes framework in progress
Member retention signalNot broadly studied72–84% more likely to stay

* FareRx is pursuing claims-data linkage and A1c integration through health-plan partnerships and Teaching Kitchen MNT credentialing. Clinical endpoint data is a stated priority for 2026 cohorts.

References
  1. 1.Mozaffarian D et al. "Food Is Medicine" strategies for nutrition security and cardiometabolic health equity. J Am Coll Cardiol. 2024;83(8):843–864.
  2. 2.Downer S, Berkowitz SA, Harlan TS, Olstad DL, Mozaffarian D. Food is medicine: actions to integrate food and nutrition into healthcare. BMJ. 2020;369:m2482.
  3. 3.Berkowitz SA et al. Medically tailored meal delivery for diabetes patients with food insecurity: a randomized cross-over trial. J Gen Intern Med. 2019;34(3):396–404.
  4. 4.Doyle J, Alsan M, Skelley N, Lu Y, Cawley J. Effect of an intensive food-as-medicine program on health and health care use: a randomized clinical trial. JAMA Intern Med. 2024;184:154–163.
  5. 5.Deng S, Hager K, Wang L et al. Estimated impact of medically tailored meals on health care use and expenditures in 50 US states. Health Affairs. 2025;44(4):433–442.
  6. 6.Go AS et al. Effect of medically tailored meals on clinical outcomes in recently hospitalized high-risk adults. Med Care. 2022;60(10):750–758.

Download the complete 2025 Outcomes Report.

Full data tables, program methodology, literature comparison, and implications for health-plan partners.