Health Affairs January 1, 2025
Jessica Bylander

Abstract

Communities and health organizations are testing novel ways to fund costly initiatives to advance health equity.

Donna Dozier hops into the back of a boxy white delivery truck, filling a refrigerator with plastic-wrapped trays of cold food, cartons of milk, and a brown paper bag labeled with a green “R” for “renal disease.” In smaller containers, she stacks trays of hot food, some regular meals and some “medically tailored” for clients with a range of chronic conditions and medical needs. A narrow freezer is stacked with boxes, each filled with a week’s worth of frozen meals.

Around 9:00 a.m., Dozier pulls out of the lot behind the Margaret Wagner Apartments, in Cleveland, Ohio, to start her route, delivering food...

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