Partner Resources

2026 Addressing Hunger Through Healthcare

A Project Bread Evaluation

Released in March 2026 by Project Bread

Overview

This report describes Project Bread’s evaluation findings, which demonstrate that integrating food and nutrition services into health care improves health outcomes, reduces hunger, and decreases avoidable health care costs. Food security programs that support health care-based interventions must also be protected and strengthened.

Summary

Massachusetts has long understood the connection between hunger and health. Now we are proving that increased food security can improve health outcomes.

MassHealth’s Flexible Services (2020-2024) was a revolutionary program that allowed Medicaid dollars to be used on “non-medical” expenses to address two social determinants of health – food insecurity and housing instability. Project Bread was one of the first food and nutrition providers under Flexible Services. Over the five-year program, we supported 15,986 unique individuals from seven Accountable Care Organizations (ACOs) representing more than 50 community health centers, hospitals, and independent physicians’ offices across Massachusetts.

Impact of Participation in Project Bread’s Flexible Services

▪️ Cost savings for ACOs: 28.8% reduction in total cost of care per member, equivalent to approximately $6,360 in annual savings per member 

▪️ Improved blood sugar control: A1c level decline of 10.94 to 9.55 for clients with poorest glycemic control 

▪️ Reduced food insecurity: 15.3 percentage point decrease in reported food insecurity 

▪️ Strong SNAP participation: 86.4% of clients were enrolled in SNAP 

▪️ Boost in healthy eating habits: 4 additional servings of fruits and vegetables for clients per week 

▪️ Greater confidence in nutrition knowledge: 85.8% of clients felt confident in their nutrition knowledge

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