HealthMarch 05, 2025

Food as medicine: Payer nutrition programs can support member health

As the healthcare industry increasingly engages with food as medicine, payers can support dietary care management programs with a focus on nutrition.

Noncommunicable diseases (NCDs) cause almost three out of every four deaths globally, including from cancer, stroke, and diabetes. A healthy diet stands out as protection against many of these conditions, spurring a significant interest in viewing food as medicine. Food can be one of the most powerful forms of disease prevention—with the right approach and adherence to dietary plans.

The food as medicine movement has received attention from stakeholders across the healthcare industry. Concepts like food prescriptions, food pharmacies, medically tailored meals and the Food Is Medicine Center for Excellence are becoming increasingly popular among both patients and providers.

Payers have an opportunity to lead the way. Care management efforts can help improve outcomes through integrated nutrition and diet-based programs that consider the whole-person member experience by integrating social determinants of health and social drivers.

Chronic care management integration: The possibilities for payers are only growing

Chronic conditions can benefit from deliberate food interventions from payers. Six in 10 people in the United States are navigating at least one chronic disease with four out of ten having two or more—these are major drivers of the $4.1 trillion in annual healthcare costs.

Treating food as medicine should be a pillar of proactive prevention for healthcare payers, helping to alleviate the cost of disease. This is especially true when these nutrition programs focus on the highest risk members with multiple chronic conditions. Many of the conditions that can benefit most from dietary interventions like diabetes, heart disease, and obesity overlap and are highly preventable, potentially even reversible. Most payers target only 15-20% of their members for care management, so the potential for prevention could be extensive.

Care management programs engage members in their health journey, helping them learn along the way and keeping them active in decision-making. Members with conditions that benefit from dietary changes, or who are on medications that interact with certain foods, like warfarin, propranolol, and ace inhibitors, are ideal targets populations for these programs.

Driving the patient-consumer movement: How social media can engage members

Payers can use their branded social media accounts to encourage member populations to prioritize diet in their health choices. This can be supported through evidence-based health information and content and also available within member portals. Social media managers can track follower engagement to better understand broad attitudes around care management programs, educational materials, and materials on navigating conversations with physicians and family.

To treat food as medicine, payers should take advantage of the interest members already have around improving dietary choices and note how social media is an area of growing activity.

  • 54% of Americans encountered food and nutrition content on social media in 2024, up from 42% in 2023. (These numbers range from 31% for Boomers to 79% for Gen Z.)
  • 68% say they trust the information they find.
  • 65% say online tools and mobile apps can help them improve their diet and physical activity.
  • Older generations are more likely to see food and nutrition content on Facebook, while younger generations are more likely to see it on Instagram and TikTok.

However, the top three trusted sources were still healthcare professionals, registered dieticians, and wellness coaches. Only 38% of Americans would trust a doctor or nutritionist on social media, so it can be an additional medium to reach members and help influence positive habits.

Enabling a payer touchpoint: Equip dieticians as a key point of contact with members

Members have a range of opportunities to use food as an alternative to, before, and in addition to traditional pharmacological interventions. Dietitians can serve as a trusted and highly effective point of contact in their journey—72% of Americans said they would trust information about which foods to eat and avoid coming from a registered dietitian nutritionist. Registered dieticians are integral parts of any population-health focused multidisciplinary care team—critical in proactive prevention and effective use of food in improving member and group outcomes. To best support members, they need evidence-based educational materials to provide accurate and accessible nutritional information to members through engaging videos and content.

This potential is especially true for populations whose diets and food options are most heavily influenced by social determinants and drivers of health, including ethnic and racial minorities, women, members with lower educational levels, those living in food deserts, and members of lower socioeconomic status. Progress toward equity requires professional support from care teams empowered with evidence-based tools that are tailored to the cultural and social nuances of their members.

Food as medicine: Payers can apply traditional medication therapy management principles to nutrition programs

Care management program outcomes can benefit from the application of the principles of traditional medication therapy management. The five core elements of medication therapy management in the community pharmacy setting mesh well with any care management program dedicated to treating food as medicine:

  • Therapy review
  • Personal records
  • Action plans
  • Intervention and referral
  • Documentation and follow up

This approach involves collaboration across the care journey to create food therapy management programs suitable for each member’s health goals and individual needs.

Therapy review

Dieticians can pull data from a member’s medical, treatment, and social history and work with other clinicians to understand and identify interactions with food and medications. In cases of chronic migraines, physicians already often ask about the member’s diet as many foods and dietary habits contribute to the frequency and severity of the condition.

Personal dietary records

Working with members to compile personal dietary data is essential to successful food therapy management. Personal dietary records can include data from food journals, supplements, and herbal products to better inform planning and provide clinicians with accurate insights into eating habits. They can also be useful in identifying issues around food accessibility to flag opportunities to coordinate with nutrition programs like U.S. Hunger and others that address the root causes of food insecurity and food deserts.

Dietary action plans

A range of populations can benefit from customized, member-centered approaches that prioritize wellness and promote adherence to healthier eating habits. Cooking at home is associated with health benefits including reduced risk of type two diabetes—people who cook at home tend to have less weight gain, eat fewer calories, and consume higher quality food than those who dine out frequently. For members navigating food insecurity, action plans can incorporate referrals to local food banks and other specialized local resources.

Payers can also integrate these plans into employer outreach programs that incorporate meal prep services at a discount, giving members simple and practical steps to improve their dietary habits and outcomes.

Intervention and referral

At this level, payers can step in to connect members with specialists, dieticians, and other professionals to help manage more complex conditions and dietary plans.

For example, chronic inflammation contributes to a range of noncommunicable disease including neurocognitive decline, cancer, and cardiovascular disease. Guidance around reducing inflammation and lowering concentrations of circulating inflammatory markers could be part of a broader nutrition program for multiple disease states when coordinated with specialists and other clinical professionals.

Documentation and follow up

To reap the full benefits of treating food as medicine, payers should understand the whole person and how their needs evolve over time. If a member completes a nutrition program and is later diagnosed with a condition, these two facts should inform future recommendations, including updated nutritional information that considers the effects of the new condition, medication, and treatment goals. Proper documentation, coding alignment, and follow up requires advanced strategies in dealing with data from members, employers, and providers to chart a path forward and strengthen relationships with members.

Take action on data-forward nutrition programs

Effective chronic care management and engagement programs thrive when leaders prioritize food as medicine to create meaningful change in members’ behaviors and health outcomes. When properly applied, these programs can lessen the burden on care managers, allowing them to scale member outreach and freeing them up to engage with more complex health questions and needs from members.

Leadership’s path to this type of high-performance program starts with empathetic education solutions like UpToDate® Member Engagement to equip members with information that empowers them as partners in their own health before they reach out for care from traditional sources. With this tool, members with heart disease can learn more about the Dietary Approaches to Stop Hypertension (DASH) and diabetics can educate themselves on the foods that have the most significant impact on blood glucose.

When education is aligned with the same evidence that clinicians access at the point-of-care, payers are taking a critical step toward improving outcomes and ratings, and creating the kind of member experience that differentiates them within the healthcare ecosystem.

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