Improving Health by Embedding Produce Prescriptions (PRx) into Healthcare Practice

WHO WE ARE

The NPPC is comprised of member organizations and is led by a member-appointed steering committee.

NPPC works to curb the inequitable and national burden of diet-related disease by integrating Produce Prescriptions as prevention & treatment for diet-related disease into standard clinical practice through policy at the federal and state level.

GOAL

The NPPC goal

Embed Produce Prescriptions (PRx) as a covered benefit for members of all government-sponsored health plans whose healthcare providers and case managers diagnose as having or having elevated risk for diet-related illness as well as having or having elevated risk for food insecurity. This includes Medicaid and the Children’s Health Insurance Plan (CHIP), Medicare and Medicare Advantage, as well as Indian Health Services, Veterans Health Administration, and TRICARE.

Community

Data Collection + Evaluation

Produce Prescription + Financial Incentive

Healthcare Provider Referral to Program

Receive Produce at Prescription Redemption Site

Nutrition / Culinary Education

Patient Eligibility Screening

WHAT IS A PRx

What is a PRx?

A Produce Prescription (PRx) is a medical treatment or preventative service for eligible patients due to diet-related health risks or conditions, food insecurity, or other documented challenges in access to nutritious foods, and are referred by a healthcare provider or health insurance plan. These prescriptions are fulfilled through food retail and enable patients to access healthy produce* with no added fats, sugars, or salt, at low or no cost to the patient. When appropriately dosed, Produce Prescriptions are designed to improve healthcare outcomes, optimize medical spending, and increase patient engagement and satisfaction.

National Produce Prescription Collaborative, March 2021

*according to USDA WIC-eligible fruits and vegetables

PLATFORM

Get familiar with the NPPC Platform

Issue guidance to states on using PRx in their state Medicaid programs.
Advance utilization of PRx under SSBCI allowances and share data to break down silos and inform other healthcare providers.
Provide a PRx benefit within Medicare to cover produce and services for qualified beneficiaries at standard Medicare cost share.
Utilize congressional appropriation and significant philanthropic support to advance a PRx demonstration project and establish standards for utilization within VHA.
Utilize congressional appropriation and significant philanthropic support to advance a PRx demonstration project and establish standards for utilization within IHS.
Advance drivers of health screening in all government-sponsored health plans using standard measures.
Improved detail around the definition of community benefit will require nonprofit hospitals to deploy services in alignment with the community’s needs, commonly reported to be access to nutritious foods.
Support the National Institutes of Health Office of Nutrition Research (ONR) to examine the clinical impact of produce prescriptions.
Establish a billing code series for PRx

Continue investing in PRx and infrastructure through the GusNIP program and support the development and clinical validation of Nutrition Insecurity measures for use in healthcare practice.

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