Partner Resources

Evaluation of Project Bread’s Flexible Services Program

A Project Bread Impact Report

Released in 2024 by Project Bread


This report highlights the findings from a recent multi-method study funded by Dana Farber Cancer Institute that has produced quantitative and qualitative evidence about Project Bread's Flexible Services Program's efficacy and impact on our clients.


In 2020, MassHealth launched its Flexible Services Program (FSP), a groundbreaking pilot that allows Medicaid dollars to be used on "non-medical" expenses. In April 2020, Project Bread began its own model of a Flexible Services Program* with MassHealth and Community Care Cooperative (C3), an Accountable Care Organization (ACO), with 14 Massachusetts health centers. Focusing on increasing food security, Project Bread's model provides nutrition support tailored to the individualized needs of eligible clients who are both food insecure and diagnosed with a complex physical or mental health condition. Over the last three years, Project Bread's FSP has expanded to include six additional ACO partners, more than 40 health centers and health care providers, and has served close to 12,000 clients. *Food security case management provided by Project Bread is part of MassHealth's statewide Flexible Services Pilot provided to patients by referral only. The data included in this brief is based on Community Care Cooperative patients only. Flexible Services is a pilot program and not all eligible members may receive services.

Project Bread Flexible Services Evaluation
Project Bread Flexible Services Evaluation