DeBor observed that the new federal Patient Protection and Affordable Health Care Act has strengthened the long standing IRS “community benefit” requirement that nonprofit hospitals must meet to justify their nonprofit status. This includes a mandate to perform a “community needs assessment” in collaboration with public health experts and stakeholders in local communities served by the hospital/hospital system and then to develop and implement a plan to meet the identified needs. Since obesity-related chronic disease is a widespread problem and improving food systems and access to healthful foods is now recognized as part of the solution to this problem, farmers should be among the stakeholders participating in the community needs assessment process.
SPRINGFIELD, Mass. — Hospitals around the country should become new markets for farmers to provide healthy, often locally-produced food to comply with their legal requirements under the Affordable Care Act, a prominent health care consultant told the National Farmers Union at its annual convention here this week.
“Hospitals have to demonstrate to the Internal Revenue Service that they are investing dollars into the community that justifies their nonprofit status. This is a time to become engaged as a community advocate for food and what impact it has on the community,” said Marydale DeBor, a former Connecticut hospital executive who now runs a New Haven consulting business called Fresh Advantage.
“I am looking for opportunities for you to be the doctors to the world,” DeBor said.
For the first time in its 111 year history the National Farmers Union will hold its convention in New England and Fresh Advantage’s Marydale DeBor is pleased attend as a member of the New England Farmers Union board of directors and delegate to the national convention.
Marydale will present at a breakout session called “Scaling up to Meet Demand” which will look at how farmers can grow to meet the demand for local foods by expanding and by working with fellow family farmers through cooperatives and other organizations.
The Patient Protection and Affordable Care Act (PPACA) will compel hospitals to promote population health in the communities they serve. Practicing prevention and keeping the general population served healthy will be a necessity as new payment models are adopted by third-party payers and pressure increases to control per capita costs. In addition, specific mandates tied to reimbursement include reducing patient re-admissions within 30 days of discharge.
PPACA also affects health-care sector employers: incentives exist within the new law for wellness programs that can keep an institution’s workforce healthier and more productive while reducing costs.
Fresh Advantage™ salutes Dr. Andrew Bremer, a pediatric endocrinologist and Professor Pediatrics at Vanderbilt University Medical Center, for standing up to MacDonald’s at its recent shareholder meeting and elucidating the link between fast food and the current epidemic of obesity and diabetes among children in the U.S.
In the September, 2011 “Food Issue” of THE NATION, Michael Pollan opined that our country’s industrial food system would not change until the health care sector (health professionals and institutions with which they are affiliated) and the health insurance industry became advocates for change—and politically active. Well, physicians are becoming active now in the private sector arena through the “Value the Meal” campaign underway by Corporate Accountability International.Read More
VIDEO & PODCAST LIBRARY
Recovery is Cooking
From Connecticut Mental Health Center
Plow to Plate
Before Fresh Advantage, Marydale co-founded Plow to Plate. Hear about their successes on All Things Connecticut
Prescribing Food, Part 1: Making Hospitals Healthier
From Heritage Radio Network
Women Addressing Food In Healthcare
From the Yale Sustainable Food Project Podcast