Section 5.4: Improved Patient Diet and Health Outcomes

What are the outcomes health plans should measure to identify if the specific FIM intervention model is producing measurable improvements for key target population needs?

When allocating program dollars, payers must decide what matter most based on organizational goals, the population profile, and budget constraints.

  • If maximizing the per-member health impact is the goal, then providing the plan’s highest-need members with several months’ worth of MTM may be the optimal route.
  • If reaching a broader group of members with a less intensive intervention for improved metabolic or mental health, then more scalable approaches, such as MTG or PRx, and digital nutrition support may be a better fit, allowing for broader reach at a lower per-member cost.

Section 5.4: Increased Patient Engagement, Retention, and Growth Blurb

What are operational strategies for health plans to improve member satisfaction, retention, and plan growth through FIM programs?

Meeting consumer demand for better nutrition through FIM can boost member satisfaction and help plans retain members by increasing the perceived value of coverage, especially among those managing chronic conditions or facing food insecurity. National surveys indicate strong consumer interest in participating in FIM programs, with many adults expressing a desire for these services to be covered by their health insurance.

Actively marketing FIM programs to individuals with complex medical needs may increase proportion of high-cost enrollees. Concurrently, active marketing could also attract health-seeking individuals, shifting the mix toward lower-cost enrollees.

Section 5.4: Increased Patient Engagement, Retention, and Growth Table 1

Top Drivers of Patient Retention

Supportive Health Plan Practices

Top Drivers of Patient Retention

High-Touch & Consistent Member Support

Provide regular meal deliveries, nutrition coaching check-ins, and glucose monitoring reminders.

Personalized Member Experience

Tailor meals to cultural + dietary preferences; offer convenient formats and delivery; provide 1:1 dietitian access.

Visible Clinical Improvements

Track and share A1c improvements, weight loss, medication reductions, and symptom improvement.

Frictionless Enrollment and Care Coordination

Auto-enrollment for T2D patients, Integrate FIM into case management, PCP workflows, and care plans.

Section 5.4: Increased Patient Engagement, Retention, and Growth Table 2

Top Drivers of Growth

Supportive Health Plan Practices

Top Drivers of Growth

Clear Value Story to Providers and Referral Ease

Equip clinics with referral tools, FIM brochures, and eligibility quick guides.

Targeted Outreach to High-Need Members

Use claims + EMR + SDOH data to identify high-risk T2D patients (poor A1c, food insecurity, high utilization).

Simple, Low-Friction Enrollment Experience

Mobile-friendly sign-up, SMS confirmations, bilingual onboarding, and short eligibility screens.

Community and Employer Partnerships

Collaborate with pharmacy partners, CBOs, diabetes associations, employers, government agencies.

Section 5.4: Improved Healthcare Quality Performance Ratings and Incentives Table

HEDIS
(Clinical Quality)

Learn More:

What it Measures:

  • A1c control
  • BP control
  • Eye exams
  • Kidney exams

How FIM Can Improve Key Measures:

  • Improved diet → greater chronic disease control
  • Increased touchpoints → more care completion

SNS
(Social Needs Screening)

Learn More:

What it Measures:

  • Food insecurity
  • SDOH needs
  • Referral closure

How FIM Can Improve Key Measures:

  • Reduces/eliminates food insecurity
  • Creates closed-loop documentation

CAHPS
(Member Experience)

Learn More:

What it Measures:

  • Access to care
  • Service experience
  • Care coordination
  • Plan rating

How FIM Can Improve Key Measures:

  • Member reports greater support
  • Member reports reduced stress
  • Member reports improved care navigation

Star Ratings

Learn More:

What it Measures:

  • Overall plan score

How FIM Can Improve Key Measures:

  • Integrated effect of HEDIS + SNS + CAHPS results in higher bonus payments
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