Impact · Observations, not claims
What we see across the portfolio.
These are observations from the live programs Fresh House operates today in Puerto Rico. They are not journal findings — they are what 19,888 souls, 8 programs and 3 million boxes have surfaced about how food behaves as medicine.
| Program | Condition | Audience | Metric | Observation | N | Source |
|---|---|---|---|---|---|---|
| Medicare Advantage Healthy Box — PR | General prevention · 65+ | Medicare Advantage members (PR) | Member satisfaction | Member satisfaction averaging 4.9 / 5.0 across operations · 96% positive ratings | Continuous survey program | Internal operations review |
| Medicare Advantage Healthy Box — PR | Operational quality · SLA | Medicare Advantage members (PR) | Delivery success rate | Delivery success rate 99%+ · sub-1% call-center abandonment in best months | Continuous logistics monitoring | Internal operations review |
| Medicare Advantage Healthy Box — PR | Program adoption | Eligible Medicare Advantage population | Eligible base growth | Eligible base growing year-over-year as the program expands across the island | Eligibility registry | Internal operations review |
| PR Medicare Food is Medicine — independent evaluation | Member satisfaction (food-benefit ever-users) | Medicare Advantage members 65–75 in Puerto Rico | Satisfaction with the food benefit | 93% satisfied · 84% find ordering easy | 300 adults 65–75 · face-to-face interviews (2023) | The Research Office — Product Evaluation Study |
| PR Medicare Food is Medicine — independent evaluation | Plan retention impact | Medicare Advantage members 65–75 in Puerto Rico | Inclination to remain enrolled in current MA plan | 95% inclination to remain enrolled with the MA plan offering the benefit · 95% intent to order box again | 300 adults 65–75 · face-to-face interviews (2023) | The Research Office — Product Evaluation Study |
| PR Medicare Food is Medicine — independent evaluation | Cross-plan switching demand | MA members 65–75 in plans without the benefit | Switching intent toward a plan offering the food benefit | 17% most inclined to switch · 62% 'definitely' or 'probably' inclined to switch for the benefit | Competitive base · 300-member study (2023) | The Research Office — Product Evaluation Study |
| PR Medicare Food is Medicine — independent evaluation | Brand and innovation perception | Medicare Advantage members surveyed (PR 65–75) | Health-plan brand impact | 73% say the benefit improves their plan's image · 72% agree the offering plan is 'the most innovative MA plan in the market' · 70% believe the box will impact their health | 300 adults 65–75 | The Research Office — Product Evaluation Study |
| PR Medicare market — macro signals | Macro health-behavior shifts | Medicare Advantage members 65–75 in PR | Self-reported nutrition behavior | 79% eating more fruits and vegetables · 85% cooking healthier · 83% cooking at home more · 47% extremely / very concerned about finding healthy food | 300-member panel (margin ±6%) | The Research Office — Product Evaluation Study |
| GUSNIP — Fresh Access PR | Nutrition incentive redemption | NAP participants (PR) | Redemption rate | 100% redemption (NTAE-confirmed) — exceeded national benchmark | FIP cohort | NTAE evaluation |
| GUSNIP — Fresh Access PR | Demand signal | PR NAP-eligible households | Demand vs supply | Demand structurally exceeded federal incentive supply; viral press uptake confirmed pent-up demand within hours of announcement | Program-level observation | FIP operational data |
| Fresenius CKD | Chronic Kidney Disease (pre-dialysis) | Renal patients | Program rating | 85% of pilot participants rated the program Excellent or Good · clinical signals (GFR · Albumin) consistent with improved nutrition | Pilot cohort | Clinical observations · Fresenius Kidney Care Advocates |
| Adopta un Viejo | Vulnerable elders · prevention | Adults 65+ in PR | Programmatic continuity | Sustained islandwide bi-weekly food-box delivery to vulnerable elders | Active enrollment | Fundación MMM · operated by Fresh House |
| COVID-19 Response | Disaster · food insecurity | PR residents during pandemic | Operational scale | 3,000,000 boxes delivered islandwide | Public emergency operations | PR Government emergency contract |
Human stories
Every observation in this table maps to a person. Patient narratives are available under consent — including the renal patient whose dialysis cannula regression was observed during sustained low-K adherence with the Fresenius box.
Tufts DUA
The Tufts Friedman School of Nutrition Science and Policy holds an active Data Use Agreement with Fresh House for outcomes evaluation in GUSNIP/PPR cohorts. Publications in preparation.
Want the raw data?
Credentialed researchers, foundations and federal program officers can request access under our standard DUA.
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