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Informing our approach

Project Bread is committed to listening and learning from the communities we serve, aiming to reduce bias rather than replicate it. Understanding food insecurity — who it impacts, how it impacts, and how people access help — is critical to inform equitable policy priorities and our programmatic response.

We recognize and uphold the right of marginalized communities to have the resources they need to break down barriers and inform the best way to meet their own needs.

Through our research, we aim to better understand the barriers that individuals and communities face to access food and utilizing existing solutions, so we can better meet their needs.

2026 Impact Report

An Evaluation of Project Bread’s Food is Medicine Intervention

Massachusetts has long understood the connection between hunger and health. Now we are proving that increased food security can improve health outcomes. 

MassHealth’s Flexible Services (2020-2024) was a revolutionary program that allowed Medicaid dollars to be used on “non-medical” expenses to address two social determinants of health – food insecurity and housing instability. Project Bread was one of the first food and nutrition providers under Flexible Services. Over the five-year program, we supported 15,986 unique individuals from seven Accountable Care Organizations (ACOs) representing more than 50 community health centers, hospitals, and independent physicians’ offices across Massachusetts. 

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Impact of Participation in Project Bread’s Flexible Services:

  • Cost savings for ACOs: 28.8% reduction in total cost of care per member, equivalent to approximately $6,360 in annual savings per member 
  • Improved blood sugar control: A1c level decline of 10.94 to 9.55 for clients with poorest glycemic control 

  • Reduced food insecurity: 15.3 percentage point decrease in reported food insecurity 

  • Strong SNAP participation: 86.4% of clients were enrolled in SNAP 

  • Boost in healthy eating habits: 4 additional servings of fruits and vegetables for clients per week 

  • Greater confidence in nutrition knowledge: 85.8% of clients felt confident in their nutrition knowledge 

Our findings demonstrate that integrating food and nutrition services into health care improves health outcomes, reduces hunger, and decreases avoidable health care costs. Food security programs that support health care-based interventions must also be protected and strengthened.

2025 Study Findings

Reducing emergency and hospitalization-related health care use through food security

Project Bread is the largest provider of nutrition services through the Flexible Services program with MassHealth. This program aims to increase food security for food insecure patients with qualifying medical conditions. A recently released study by researchers at UMass Chan Medical School. found participation was associated with:

  • 23% decrease in hospitalizations

  • 13% decrease in emergency department visits, compared to eligible individuals who did not participate

  • saved $2,502 in health care costs per adult, exceeding its delivery cost and generating $1.8 million in net savings.

 

While these results highlight the overall impact of the Flex Program, we’re especially proud to contribute as its largest provider of nutrition services and being a central partner to this work since day one. It’s deeply encouraging to see that our efforts are making a tangible, immediate difference in reducing emergency and hospitalization-related health care use. 

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Released August 2021

Barriers to SNAP and the role race/ethnicity play in the experience of Boston households

In March 2020, Massachusetts shut down to slow the spread of COVID-19 and food insecurity doubled. While this surge has impacted residents of all backgrounds, it has disproportionately impacted minority households, representing the continuation of a trend that pre-dates the pandemic. 

One proven resource in helping to alleviate food insecurity is the federally-funded Supplemental Nutrition Assistance Program, or SNAP. State and federal actions to remove barriers and strengthen this program during the pandemic have helped many people access and afford food.

Indications that food insecurity is beginning to decline, with SNAP possibly having a role, brings urgency to our research to measure SNAP awareness, understand the perceptions that may impact a person’s willingness to enroll in the program, and learn about the experiences of residents when using SNAP benefits.

We have used these findings to inform our recommendations to dismantle any barriers that persist between those eligible but not enrolled, that may contribute to SNAP’s underutilization.

Reports & Studies

Addressing Food Insecurity in Healthcare

Research & Studies

SNAP

Reports & Studies

Historical Retrospectives

Children’s HealthWatch, in partnership with Project Bread, examine the history of food insecurity and hunger since the 1960’s.

Research & Studies

School Nutrition

Reports & Studies

Community Case Studies