Articles

Addressing Malnutrition Through Advances In Value-Based Care

Publication Date: 18 April 2025

Author(s):Alexandra Bryan, MPH, Megan Caruso, Shelby Harrington, MS, RN, Mary Beth Arensberg, PhD, RDN, FAND, and Amy Shepps, MBA, RDN

Abstract:

This Health Affairs article discusses the significant impact of malnutrition on hospitalized patients and the healthcare system, highlighting how targeted nutrition interventions can improve patient outcomes and reduce costs. It emphasizes the importance of integrating nutrition care into value-based care models, showcasing successful examples and advocating for systemic changes to enhance nutrition-focused quality improvement initiatives. The article also explores the multifactorial nature of malnutrition, including medical and socioeconomic factors, and calls for coordinated efforts among healthcare providers, community organizations, and policymakers to address this critical issue comprehensively.

Author(s):

Mary Beth Arensberg, PhD, RDN, LDN, FAND

Abbott Nutrition Director of Health Policy
Abbott
Columbus, OH, USA

Amy Shepps, RDN, MBA

Director of Corporate Reimbursement
Abbott Nutrition
Washington, DC, USA 

Amy Shepps, MBA, RD, serves as Director of Corporate Reimbursement as part of the Abbott Government Affairs team based in Washington, DC. Amy leverages her expertise in clinical nutrition, quality improvement, and clinical nutrition management to proactively assess trends, policies, and emerging issues in federal and state government for Abbott’s Nutrition division.

Alexandra Bryan, MPH

Senior Associate 
Avalere Health

Megan Caruso

Consultant II 
Avalere Health

Shelby Harrington, MS, RN

Managing Director, Evidence & Strategy 
Avalere Health
Baltimore, MD, USA

Shelby is a Managing Director with Avalere Health’s Evidence & Strategy team, where she supports clients from the pharmaceutical industry, health plans, and patient advocacy organizations in navigating the transition to value-based care with a focus on quality of care, clinical and financial outcomes, and patient-centeredness. She is a nationally recognized expert in federal quality programs and measurement development processes, and is a member of the NCQA’s Industry Council. Before joining Avalere Health, Shelby led clinical product and strategy at Nurx, a direct-to-consumer telemedicine startup. Previously, she served as senior product director for quality and regulatory technology at Premier, Inc., overseeing hospital regulatory software, provider registries, provider MIPS solutions, and value analytics products. Before that, Shelby worked as director of clinical excellence for the Advisory Board Company’s Crimson Population Health software suite, where she led deployment of evidence-based care plans and launched a population health quality reporting solution. Shelby began her career at Carolinas HealthCare System—now Atrium Health—as a staff nurse in orthopedics and trauma care before progressing to leadership roles in quality and patient safety for inpatient acute and inpatient rehabilitation hospitals. Shelby holds a bachelor’s degree in public policy analysis from the University of North Carolina at Chapel Hill and bachelor’s and master’s degrees in nursing from Virginia Commonwealth University.

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