SMAA/MMC Simply Delivered Meals (SDM) Pilot

"I really don't know what I would have done without the meals. Everything has been so overwhelming for me." - Simply Delivered Meals recipient

Southern Maine Agency on Aging and Maine Medical Center piloted a home-delivered meal program to determine the impact of intervention and nutrition on readmission rates for high-risk Medicare patients. The pilot program lasted 2 years across 622 discharges.

SMAA Community-based Care Transitions Program (CCTP) 30-day Readmission Rates (n=622)

A study conducted with Maine Medical Center of 622 high-risk Medicare patient discharges who received 7 meals after hospital discharge determined the 30- day readmission rate for those discharges was 10.3%, compared to the 12.3% rate for similar discharges that
received no meals (CCTP only).

Study time-frame: 7/16/2013 - 7/15/2015

chart illustrating the difference between baseline patients and patients who received SDM and who did not.

Avoided Readmission Costs

The cost of providing 7 Simply Delivered meals to 622 patients totaled $43,530.

The average cost of a hospital readmission for a high-risk CCTP patient is $16,320 (based on SMAA’s project-specific CMS-HCC risk score of >1.6 at MMC). The avoided cost for 13 discharges who were not readmitted (the 2 percentage point difference in readmission rates for 622 discharges with meals) was $212,160. This represents an ROI of 387% or $3.87 for every dollar spent and a 38% decrease in readmission rate over baseline.

chart illustrating cost of avoided readmissions at $212,160 relative to cost of meals provided at $43,530.