#5: Did you often feel that you didn’t have enough to eat?

Brian Frank MDAssistant Professor

Oregon Health and Science UniversityDepartment of Family Medicine Rx

Rx

Rx

Rx

Yes No Yes No

0%

20%

40%

60%

80%

100%

Before CSA After CSA

0 1 2 3 N/A

0%

20%

40%

60%

80%

100%

Before CSA After CSA

0 1 2 3

Rx

Food Insecurity ScreeningOver the past 12 months, were you worried whether your food would run out before you got money to buy more?

Over the past 12 months, did youfind that the food you bought just didn’t last and you didn’t have money to get more?

Rx

Rx

Flexible Services

• Part of Medicaid waiver• Health-related services• No billing codes• Likely to be cost-effective• Likely to improve health outcomes

• Curative Nutrition• Burn/wound care• Delivered to home

• Prenatal Healthy Eating Classes• Group Format• Meal sharing/brainstorming

• Gleaning Collaborative• Surplus food collected• Delivered to low-income housing

Flexible Services

Encouraging Words

• “It doesn’t cost a lot to improve someone’s living situation or pay for exercise classes, so we’re not spending a lot of money. That doesn’t mean flexible services aren’t important.” – CCO Executive

Future Targets?

• Veggie Rx Vouchers• CSA Shares• Cooking Classes• Food Pharmacies

* $4 = $60 Billion

$100,000,000,000PER YEAR

* 365