Evidence map›Paper›PMID 38577164›Full record

ArticleHealth affairs scholar2024

The evolution and scope of Medicaid Section 1115 demonstrations to address nutrition: a US survey.

Erika Hanson, Daniel Albert-Rozenberg, Kathryn M Garfield, Emily Broad Leib, Ronit A Ridberg, Kurt Hager, Dariush Mozaffarian

Open access · diamondAbstract read
In one paragraph

Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
22.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026
    Article
  5. Article
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  7. Observational
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  9. Article
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  13. Changes to Fruit and Vegetable Intake and Waste When Households Receive Free Produce.medRxiv : the preprint server for health sciences · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Preferences for food vouchers among adults with low incomes.Journal of hunger & environmental nutrition · 2025
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Erika HansonCenter for Health Law and Policy Innovation, Harvard Law School.
Daniel Albert-RozenbergCenter for Health Law and Policy Innovation, Harvard Law School.
Kathryn M GarfieldCenter for Health Law and Policy Innovation, Harvard Law School.
Emily Broad LeibCenter for Health Law and Policy Innovation, Harvard Law School.
Ronit A RidbergFood is Medicine Institute, Friedman School of Nutrition Science & Policy, Tufts University.
Kurt HagerDepartment of Population Health and Quantitative Sciences, University of Massachusetts Medical School.
Dariush MozaffarianFood is Medicine Institute, Friedman School of Nutrition Science & Policy, Tufts University.
Tufts University · USUniversity of Massachusetts Chan Medical School · US

Funding

Cost-Effectiveness of Health System and State-Level Strategies to Improve Diet and Reduce Cardiometabolic DiseasesR01HL115189 · NHLBI · TUFTS UNIVERSITY BOSTON · PI DARIUSH MOZAFFARIAN · 2013 to 2026
$8.2M
NHLBI NIH HHS R01 HL115189
6 · The paper itself

Abstract

Poor nutrition and food insecurity are drivers of poor health, diet-related diseases, and health disparities in the U.S. State Medicaid Section 1115 demonstration waivers offer opportunities to pilot food-based initiatives to address health outcomes and disparities. Several states are now leveraging 1115 demonstrations, but the scope and types of utilization remain undefined. To fill this gap, we conducted a systematic analysis of state Medicaid Section 1115 applications and approvals available on Medicaid.gov through July 1, 2023. We found that 19 approved and pending 1115 waivers address nutrition, with 11 submitted or approved since 2021. Fifteen states provide or propose to provide screening for food insecurity, referral to food security programs, and/or reporting on food security as an evaluation metric. Thirteen provide or propose to provide coverage of nutrition education services. Ten provide or propose to provide direct intervention with healthy food. The primary target populations of these demonstrations are individuals with chronic diet-sensitive conditions, mental health or substance use disorders, and/or who are pregnant or post-partum. Since 2021, state utilization of Medicaid 1115 demonstrations to address nutrition has accelerated in pace, scope, and population coverage. These findings and trends have major implications for addressing diet-related health and healthy equity in the United States.

Identifiers

PMID38577164
PMCPMC10986195
OpenAlexW4391429874

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.