The Effect of Grocery Support Dose on Food Insecurity and Disease Control Among Covered California Members With Diabetes or Hypertension
University of California, San Francisco
Summary
This continuation study is a pragmatic randomized controlled trial (RCT) of Covered California's Grocery Support Program among low-income participants with diabetes or hypertension. This pragmatic RCT will compare the efficacy of providing different benefit amounts ($80 vs. $120) via a monthly food card benefit for households where at least one adult has diabetes and/or hypertension and incomes below 250% of the federal poverty level (FPL).
Description
In 2024, Covered California initiated multiple Population Health Investments (PopHIs) based on funds collected by participating plans if they failed to meet a set of quality benchmarks related to diabetes control, blood pressure control, colorectal cancer screening, and childhood immunizations. One priority area for the PopHIs was food insecurity among patients who manage diabetes and/or hypertension. Food insecurity, defined by the US Department of Agriculture (USDA) as a "lack of access to enough food for an active, healthy life" effects 18% of newly enrolled Covered California members. Food…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Active Covered California member * Adult \>= 18 years of age * Has a diabetes and or hypertension diagnosis identifiable in Covered California's administrative claims * Income \<250% FPL Exclusion Criteria: * No longer a Covered California member * $0 spending in year 1 grocery support program
Interventions
- Other$80 Grocery Support Monthly Program
$80 monthly (adjusted by household size), re-loadable cash card for use at food retailers
- Other$120 Grocery Support Monthly Program
$120 monthly (adjusted by household size), re-loadable cash card for use at food retailers
Location
- SIREN 675 18th StreetSan Francisco, California