Development of a statewide network hub for screening, referral, and enrollment into food as medicine programs across Kentucky

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This is a feasibility case study using a quasi-experimental design to develop and test a statewide hub for screening, referral, and enrollment into food as medicine programs with Medicaid-eligible individuals aged 18–64 with high blood pressure and/or type 2 diabetes in rural and urban areas of Kentucky. The study was conducted across two healthcare providers: UK HealthCare (urban) and Appalachian Regional Healthcare (rural).

UK HealthCare referred 92 patients, with 21 enrolled in MTM and 28 in the grocery prescription program (53% enrollment rate) and Appalachian Regional Healthcare referred 32 patients, with 26 enrolled in meal kits (81% enrollment rate).

High satisfaction across all programs, with the lowest satisfaction in the MTM group. Participants in the grocery prescription and meal kit programs were more willing to continue if the program was not free. Participants used the additional funds saved from the programs to purchase other food items and household needs.

Summary of Conclusion/Findings

The study demonstrated the feasibility of developing a statewide hub for food as medicine programs, highlighting the importance of diverse program offerings to meet patient needs and preferences. Successful implementation requires support from key stakeholders, funding, and infrastructure for screening, referral, enrollment, and engagement hubs to improve health outcomes and address food insecurity.