Merge branch 'main' into extract/2025-08-01-apha-food-is-medicine-health-equity-report

inbox/queue/.extraction-debug/2025-02-04-hhs-food-is-medicine-landscape-summary.json

@@ -0,0 +1,25 @@
+{
+  "rejected_claims": [
+    {
+      "filename": "food-is-medicine-evidence-quality-varies-by-intervention-type-with-medically-tailored-meals-showing-strong-utilization-reduction-while-produce-prescriptions-lack-clinical-outcome-data.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    }
+  ],
+  "validation_stats": {
+    "total": 1,
+    "kept": 0,
+    "fixed": 2,
+    "rejected": 1,
+    "fixes_applied": [
+      "food-is-medicine-evidence-quality-varies-by-intervention-type-with-medically-tailored-meals-showing-strong-utilization-reduction-while-produce-prescriptions-lack-clinical-outcome-data.md:set_created:2026-03-18",
+      "food-is-medicine-evidence-quality-varies-by-intervention-type-with-medically-tailored-meals-showing-strong-utilization-reduction-while-produce-prescriptions-lack-clinical-outcome-data.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau"
+    ],
+    "rejections": [
+      "food-is-medicine-evidence-quality-varies-by-intervention-type-with-medically-tailored-meals-showing-strong-utilization-reduction-while-produce-prescriptions-lack-clinical-outcome-data.md:missing_attribution_extractor"
+    ]
+  },
+  "model": "anthropic/claude-sonnet-4.5",
+  "date": "2026-03-18"
+}

inbox/queue/.extraction-debug/2025-04-01-health-affairs-mtm-scaling-modeling.json

@@ -0,0 +1,34 @@
+{
+  "rejected_claims": [
+    {
+      "filename": "medically-tailored-meals-show-null-glycemic-outcomes-in-controlled-trials-despite-strongest-observational-evidence.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    },
+    {
+      "filename": "food-as-medicine-hospitalization-reduction-evidence-is-separate-from-glycemic-control-evidence-suggesting-different-mechanisms.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    }
+  ],
+  "validation_stats": {
+    "total": 2,
+    "kept": 0,
+    "fixed": 4,
+    "rejected": 2,
+    "fixes_applied": [
+      "medically-tailored-meals-show-null-glycemic-outcomes-in-controlled-trials-despite-strongest-observational-evidence.md:set_created:2026-03-18",
+      "medically-tailored-meals-show-null-glycemic-outcomes-in-controlled-trials-despite-strongest-observational-evidence.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau",
+      "food-as-medicine-hospitalization-reduction-evidence-is-separate-from-glycemic-control-evidence-suggesting-different-mechanisms.md:set_created:2026-03-18",
+      "food-as-medicine-hospitalization-reduction-evidence-is-separate-from-glycemic-control-evidence-suggesting-different-mechanisms.md:stripped_wiki_link:medical-care-explains-only-10-20-percent-of-health-outcomes-"
+    ],
+    "rejections": [
+      "medically-tailored-meals-show-null-glycemic-outcomes-in-controlled-trials-despite-strongest-observational-evidence.md:missing_attribution_extractor",
+      "food-as-medicine-hospitalization-reduction-evidence-is-separate-from-glycemic-control-evidence-suggesting-different-mechanisms.md:missing_attribution_extractor"
+    ]
+  },
+  "model": "anthropic/claude-sonnet-4.5",
+  "date": "2026-03-18"
+}

inbox/queue/2025-02-04-hhs-food-is-medicine-landscape-summary.md

@@ -7,9 +7,13 @@ date: 2025-02-04
 domain: health
 secondary_domains: []
 format: report
-status: unprocessed
+status: null-result
 priority: high
 tags: [food-is-medicine, federal-policy, sdoh, nutrition, medicaid, evidence-framework]
+processed_by: vida
+processed_date: 2026-03-18
+extraction_model: "anthropic/claude-sonnet-4.5"
+extraction_notes: "LLM returned 1 claims, 1 rejected by validator"
 ---
 
 ## Content
@@ -61,3 +65,10 @@ HHS, in collaboration with other federal departments through the Federal Food Is
 PRIMARY CONNECTION: Existing SDOH claim about intervention ROI
 WHY ARCHIVED: Federal taxonomy document that defines the intervention spectrum — essential context for any FIM claim in the KB
 EXTRACTION HINT: Extract the intervention taxonomy (MTMs vs. MTGs vs. produce prescriptions vs. education) with evidence quality for each. The document's own caveats are the most honest signal about the evidence base.
+
+
+## Key Facts
+- Federal Food Is Medicine definition: 'Interventions encompassing a broad range of approaches that promote optimal health and reduce disease burden by providing nutritious food — with human services, education, and policy change, through collaboration at the nexus of health care and community'
+- 16 states had approved or pending Section 1115 demonstrations for FIM coverage as of February 2025
+- HHS Food Is Medicine Landscape Summary published February 4, 2025
+- Federal FIM Collaborative includes USDA, CMS, HRSA, CDC, NIH, and HHS ODPHP

inbox/queue/2025-04-01-health-affairs-mtm-scaling-modeling.md

@@ -7,9 +7,13 @@ date: 2025-04-01
 domain: health
 secondary_domains: []
 format: journal-article
-status: unprocessed
+status: null-result
 priority: medium
 tags: [medically-tailored-meals, mtm, health-economics, simulation, modeling, evidence-gaps, scaling, cost-effectiveness]
+processed_by: vida
+processed_date: 2026-03-18
+extraction_model: "anthropic/claude-sonnet-4.5"
+extraction_notes: "LLM returned 2 claims, 2 rejected by validator"
 ---
 
 ## Content
@@ -68,3 +72,14 @@ The simulation model projects cost savings; the perspective paper notes the evid
 PRIMARY CONNECTION: Food-as-medicine evidence claims — extends Session 1's produce prescription finding to MTMs
 WHY ARCHIVED: Documents the simulation-vs-RCT gap at the highest level of FIM intervention intensity; the Maryland MTM pilot null result is the key new finding
 EXTRACTION HINT: Focus on the Maryland MTM pilot null result (HbA1c -0.7% vs. -0.6%, not significant) — this is the strongest disconfirmation of the "better interventions fix the problem" hypothesis
+
+
+## Key Facts
+- Health Affairs published two simultaneous papers on MTM scaling in April 2025: a simulation model (hlthaff.2024.01307) and a perspective critique (hlthaff.2025.00161)
+- The simulation model projected MTMs would be cost-saving in nearly all US states
+- The perspective paper called for 'integrating real-world variations in MTM program design into future models, including dose, duration, and ancillary services'
+- Maryland MTM pilot (2024, JGIM): 74 adults, frozen meals + dietitian calls for 6 months, HbA1c change -0.7% treatment vs -0.6% control (not significant)
+- FAME-D trial ongoing: 200 adults, comparing MTMs to $40/month food subsidy
+- Australian MTM trial commenced Q1 2023, results anticipated March 2025
+- 16 states had active or pending Section 1115 waivers for FIM coverage at time of publication
+- Older MTM observational studies showed 49% reduction in hospital admissions