Research + Resources

Building the evidence base and advancing the broader field through research

A View of the Field

In April 2025, the AMPL Institute at Community Servings released its first comprehensive report on recent advances in access to life-saving, medically tailored nutrition services. The report also assessed the prospects for further momentum within the healthcare system and the rapidly shifting federal policy and funding landscape.

READ THE REPORT

The Case for MTM

Community Servings’ peer-reviewed research has supported innovations in public policy and new opportunities for the reimbursement of nutrition services within healthcare.  

Past evaluation of the health and economic benefits of medically tailored meals (MTM) found that for individuals with complex chronic illnesses and nutrition insecurity, MTM improves dietary quality, reduces healthcare utilization, and reduces costs. 

Findings

People who received MTM demonstrated:

  • 16% monthly net reduction in healthcare costs
  • 49% reduction in inpatient admissions
  • 70% reduction in ED visits
  • 72% reduction in skilled nursing facility admissions

Read Our White Paper

People with diabetes who received MTM demonstrated:

  • 4-point increase in Health Eating Index score
  • 17% fewer reports of hypoglycemia and 20% fewer reports of food insecurity compared with study participants who did not receive meals
  • 41% fewer reports of mental health interfering with daily life compared with study participants who did not receive meals

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Current Research

American Heart Association Study

In collaboration with the University of North Carolina School of Medicine, Community Servings has recruited 100 individuals with a chronic cardiometabolic condition to test the “target” of the intervention (i.e., individual vs. household) and the delivery mechanism (i.e., shipped vs. delivered by a Community Servings driver).  

NIH Studies

Community Servings is currently collaborating on three studies funded by the NIH.  

Evaluation Consortium 

In collaboration with the Tufts University Food is Medicine Institute and University of Massachusetts Medical School, Community Servings is examining the impacts of medically tailored meals (MTM) on obesity, diabetes control, blood pressure, healthcare cost, and healthcare utilization under the MassHealth (Medicaid) Flexible Services Program.  

This is a claims data study evaluating the impact of MTM on over 5,000 individuals receiving the service.  

Food As Medicine for Diabetes  

In collaboration with University of North Carolina at Chapel Hill Medical School and Massachusetts General Hospital, Community Servings is examining the impacts of increased food access on improving health outcomes for individuals living with type 2 diabetes and food insecurity. 

Food As Medicine for
HIV and Diabetes  

In collaboration with University of North Carolina at Chapel Hill Medical School and Massachusetts General Hospital, Community Servings is examining the impacts of increased food access and a lifestyle intervention on improving health outcomes for individuals living with HIV, type 2 diabetes, and food insecurity. 

Rockefeller Foundation FIM+ Case Study

In collaboration with the Center for Nutrition & Health Impact, the Center for Health Law and Policy Innovation of Harvard Law School (CHLPI), and Johnson & Wales University, Community Servings is developing a report and supporting evaluation and educational tools documenting Community Servings’ practices of sourcing foods from local farms, fisheries, and other producers.  

The Health Foundation of Central Massachusetts’ Synergy Initiative  

Medically Tailored Grocery Box Pilot Project 

In collaboration with the Center for Health Law and Policy Innovation of Harvard Law School and the University of Massachusetts Medical School, Community Servings will recruit 50-55 Central Massachusetts residents with chronic or critical illnesses and provide 12 biweekly home-delivered food boxes, including ingredients for 20 meals and nutrition education. The pilot leverages Central Massachusetts’ agricultural resources, integrates local food sourcing, and builds on Community Servings’ extensive research demonstrating the effectiveness of MTMs. 

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FIM Resources + Research

“Association Between Receipt of a Medically Tailored Meal Program and Health Care Use.” Berkowitz, S et al. JAMA Internal Medicine (2019)

Estimated Impact Of Medically Tailored Meals On Health Care Use And Expenditures In 50 US States.” Deng, S et al. Health Affairs (2025)

Food Is Medicine Federal Resource Hub. Office of Disease Prevention and Health Promotion, U.S. Department of Health & Human Services   

“’I Was Able to Eat What I Am Supposed to Eat’ ”– Patient Reflections on a Medically Tailored Meal Intervention: A Qualitative Analysis.” Berkowitz et al. BMC Endocrine Disorders (2020)

Medicaid Nutrition Supports Associated With Reductions In Hospitalizations And ED Visits In Massachusetts, 2020–23.” Hager, K et al. Health Affairs (2025)

True Cost of Food: Food is Medicine Case Study. Deuman KA, Callahan EA, Wang L, Mozaffarian D. Food is Medicine Institute, Friedman School, Tufts University (2023)  

Nutrition Resources

Policy Resources

“Applying Legal and Clinical Quality Standards to ‘Food Is Medicine.’” Hanson, E et al. Health Affairs Forefront (2024) 

Food is Medicine: A State Medicaid Policy Toolkit. Center for Health Law and Policy Innovation & the Food is Medicine Coalition (2024) 

Maximizing the Impact of Nutrition Interventions with Local Food Procurement. Center for Health Law and Policy Innovation of Harvard Law School (2025)

“The Evolution and Scope of Medicaid Section 1115 Demonstrations to Address Nutrition: A US Survey.”
Hanson, E et al. Health Affairs Scholar (2024)

Massachusetts Food is Medicine State Plan. Center for Health Law and Policy Innovation of Harvard Law School & Community Servings (2019) 

Medicaid Federal Policy Guidance. Centers for Medicare & Medicaid Services.  

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