NUTRITION VALUE
PATHWAYS
What is NVP

Building the infrastructure for Food as Medicine to thrive

The purpose of NVP is to codify, operationalize, and expand FAM benefits by building scalable infrastructure, shared referral pathways, and implementation tools that support integration across healthcare systems, payers, and food providers.

1

Systems mapping of FAM programs, stakeholders, and workflows across Michigan

2

Pilot program implementation across health care quality improvement initiatives including oncology, diabetes, and surgical care

3

Development of referral workflows for both patient-initiated and provider-initiated pathways

4

Centralized ILOS/FAM benefit information hub and digital navigator

5

Toolkits and resources to support providers, payers, and patients across the state

6

Development and dissemination of a replicable roadmap for successful FAM implementation

We're starting with Medicaid In Lieu of Services

Definition Food as Medicine (FAM)

Medically appropriate nutrition interventions to prevent, manage, or treat disease. Examples including medically tailored meals, healthy food packs, and produce vouchers for conditions like diabetes or cancer.

Definition In Lieu of Services (ILOS)

In Michigan, ILOS allows Medicaid health plans to optionally offer FAM benefits to address members’ nutrition-related health needs. These benefits are funded by the health plans themselves as lower-cost alternatives to more expensive medical care.

Definition Food Vendor / Provider

An organization supplying healthy food or meals as part of FAM programs. Examples: Mom’s Meals (statewide medically-tailored delivered meals) and The Farm at Trinity Health (locally grown produce for healthy food packs in southeast Michigan).

ResourceFAM 1-Pager

Want to learn more or share information? Download our 1-pager on FAM programs in the state of michigan!

Download PDF

Our VisionA healthcare future where food is foundational. Nutrition policy becomes practice, and practice yields value to patients, clinicians, communities, and health care systems. Food benefits are scalable, sustainable, with clear pathways to access and utilization.

Mapping the Future of FAM Benefits
As part of NVP, we are mapping both the current and future state of Food as Medicine benefits. These maps serve as tools for shared understanding and collaboration—capturing how the system works today while engaging partners to shape how it should work in the future.
Food as Medicine Programs Systems Map
Food as Medicine programs require coordination across multiple sectors, including health plans, healthcare providers, and food providers.

The NVP is activily meeting with leaders across this system to support collaboration and knowledging sharing between stakeholders.
Patient Journey Map
Most often, patients access food as medicine benefits by contacting their health plan directly. NVP is supporting the development of more integrated pathways that engages healthcare providers in this process, positioning FAM benefits as a core component of high-quality, patient-centered care.
Joining us at the table
Four cartoon-style figures including an elderly person in a wheelchair, a woman holding a baby, and a man holding a box of vegetables, with a bag of groceries on the ground.
Patients & Families
Patients and their families are at the core of this work. Many people could greatly benefit from the nutrition and food support that is already covered by their health insurance. We want to make sure they can access these critical benefits.
Clinicians

Medical teams are stretched thin. At the same time, accessing real food resources can feel like a superpower or ray of hope. Clinicians need clear and simple referral protocols, accurate program info, and direct-to-patient support from programs.

Food Organizations

The health of our communities depends on the work of local farms, grocery stores, meal delivery providers, and food security organizations. These groups are motivated to get food to patients and to work with health and policy partners to drive value.

Payors

90% of U.S. health costs relate to chronic diseases. How do we get a handle on it?

Payors want better patient outcomes, happier members, and lower health care costs.

Policy Makers

Food as medicine has captured the attention of the nation. Health policies that strengthen healthy food access meet the strategic moment and compliment existing food programs. But what do food benefits look like in practice and how can we measure success?

NVP was created by Healthy Behavior Optimization for Michigan,
a Collaborative Quality Initiative (CQI) transforming healthcare through design.

We are system designers,  physicians, dietitians, and health services advocates ready to work with you.