Health and Economic Impact and Cost-effectiveness of Produce Prescriptions for Diabetes in 50 U.S. States: A Microsimulation Study
Authors' conclusion
PRx for patients with diabetes and food insecurity could substantially improve health and be cost saving or cost-effective in all U.S. states.
Study context
- Population
- Adults aged 40–79 years with both diabetes and food insecurity in each U.S. state (50 states)eligible: 693,000 (California) to 7,000 (Wyoming)
- Comparison
- Produce prescription (PRx) programs for adults with diabetes and food insecurity
- Outcome
- Health and economic impact of PRx across states
- Follow-up
- 10 years
Methodological detailsvalidated microsimulation model, state-specific data, probabilistic sensitivity analyses, 5- and 10-year horizons, 3% annual discounting, Pooled intervention effects and costs from 20 PRx programs
- Validated microsimulation model
- State-specific data
- Probabilistic sensitivity analyses
- 5- and 10-year horizons
- 3% annual discounting
- Pooled intervention effects and costs from 20 PRx programs
Main finding
As reported in the abstract
10 years
- Cardiovascular disease (CVD) events averted, Texas
- 9,240 (95% UI 4,710-14,500)
- CVD events averted, Alaska
- 94 (95% UI 48-147)
- Quality-adjusted life-years (QALYs) gained across states, highest
- 9,990 (95% UI 4,810-15,500)
- QALYs gained across states, lowest
- 92.2 (95% UI −30.8 to 159)
- States in which PRx net cost-saving (health care perspective)
- 43 of 50
- Largest net saving, New York
- $345 million
- Largest net costs, California
- $155 million
Further findings
Cost-saving by insurance type
- PRx most likely cost-saving for Medicare beneficiaries, followed by Medicaid and private payers
5-year horizon
- Similar patterns observed over 5 years
Original publication
Health and Economic Impact and Cost-effectiveness of Produce Prescriptions for Diabetes in 50 U.S. States: A Microsimulation Study. Diabetes Care. Published 6 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →