SNAP Access: Improving Seniors' Health Outcomes
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1 SNAP Access: Improving Seniors' Health Outcomes Reduce Nursing Home & Hospital Admissions by Meeting Basic Needs The 2017 Maryland Food Access and Nutrition Network (MFANN) Conference October 24, #SDOH #SeniorsOnSNAP #SIE4Health
2 Text TITLE
3 SERVICE DELIVERY MODEL
4 I m looking forward to help with the food and not having to worry about asking my children if they can help me I really appreciate your help. -Ms. J, age 66 4
5 The Problem: Seniors Basic Needs Aren t Met 88% of US healthcare expenditures are spent on medical care alone, but: 10% is attributed to medical care 70% is attributed to behavioral and socio-economic factors 5
6 The Research Collaboration Benefits Data Trust The Johns Hopkins School of Nursing The Hilltop Institute at UMBC Maryland Department of Human Services Maryland Department of Health Robert Wood Johnson Foundation (Links to the original research: the first on hospitals and the second on nursing homes) 6
7 The Study Hypothesis Access to Supplemental Nutrition Assistance Program (SNAP) food assistance Improved health outcomes and reduces healthcare costs 7
8 The Study Population 68,956 dual-eligible adults 65+ Nearly 70% female At least 2 chronic conditions Hispanic 5% Other 13% Unknown 10% African American 33% Caucasian 39% 8
9 Deep Poverty Average annual income approximately $5,800 9
10 10
11 The Findings: Seniors on SNAP After just one year Odds of nursing home admission: -23% Odds of hospital admission: -14% Shorter stays in both settings if admitted 11
12 Benefits Utilization 47% SNAP enrollment Average monthly benefit of $117 21% LIHEAP enrollment Average annual benefit of $339 12
13 What We Can Save If all non-snap participants from sample were enrolled: $34 million savings from nursing homes $19 million savings from hospitalizations 13
14 Research Implications for Low-Income Seniors Over 5.5 million eligible low-income seniors not enrolled in SNAP He went above and beyond the call. I m an old man, and I don t understand half of these things. Every question I asked him, he gave me a good answer in a language I can understand. He did a wonderful, wonderful job. Seniors average SNAP amount: $1,400/ year 14
15 When you're 77, it's hard to understand some of these things. You have been such a help today! I didn't even know they had these [benefits!] You don't know how great that is when you're living on Social Security. -Ms. R, age 77 15
16 Comprehensive Solutions 16
17 17
18 Connect with Us! Katherine Heflin, MS Program Manager Maryland Benefits Center at Benefits Data Trust LinkedIn: BDT: mpany/ / Katherine: /katherine-heflin / 18
19 Citations Our New Studies Cited: Samuels, L. et al. Does the Supplemental Nutrition Assistance Program Affect Hospital Utilization Among Older Adults? The Case of Maryland. Population Health Management. Szanton, et al. Food assistance is associated with decreased nursing home admissions for Maryland s dually eligible older adults. BMC Geriatrics. Other Sources Cited: Bengle, Rebecca, et al. Food Insecurity is associated with Cost-Related Medication Non-Adherence in Community-Dwelling, Low-Income Older Adults in Georgia, Journal of Nutrition for the Elderly, 29.2 (2010): Berkowitz, Seth, et al. Food Insecurity and Metabolic Control among U.S. Adults with Diabetes, Diabetes Care, (2013): Bradley, E., et al., (2011). Health and Social Services Expenditures: Associations with Health Outcomes, BMJ Quality & Safety. 20(10), Bradley, E., et al (2016). Variation in Health Outcomes: The Role of Spending on Social Services, Public Health, and Health Care, , Health Affairs 35(5), Health Impact Project, Case Study: Low Income Energy Assistance Program, Accessed at Robert Wood Johnson Foundation, Health Care s Blind Side: The Overlooked Connection between Social Needs and Good Health, December Accessed at Sokol, Michael, et al. Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost, Medical Care, 43.6 (2005): Seligman, Hilary K, et al. Food Insecurity is associated with Chronic Disease among Low-Income NHANES Participants, Journal of Nutrition, (2010):
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