Since its inception in March 2022, the Healthy Opportunities Pilot (HOP) initiative has worked to mitigate the effects of food insecurity, housing instability, interpersonal violence/toxic stress and lack of access to transportation.
Spanning multiple counties, including Pitt, Beaufort, Chowan, Edgecombe, Hertford, Martin, Halifax, Northampton and Bertie, the Access East HOP consists of a network of community-based organizations, called Human Service Organizations (HSOs), which provide essential services. By leveraging resources and expanding local economies, HOP ensures that critical support reaches those in need.
HSOs play a vital role in bridging the health care gap. By working alongside Medicaid, they offer non-medical services that directly impact health outcomes.
Programs target individuals with chronic conditions, addressing socioeconomic needs for all age groups. Access East acts as the HOP lead for eastern North Carolina, building the HSO network and coordinating insurance claims.
“Eligible Medicaid Managed Care enrollees receive these services to help manage non-medical factors that improve health outcomes,” said Tina Dixon, vice president of Healthy Opportunities at Access East. “For example, if someone does not have food security, they aren’t able to consistently eat healthy meals with fresh fruits and vegetables that play a large role in preventing conditions like diabetes and hypertension.”
One HSO, Good Shepherd Food Pantry of Bertie County serves about 1,200 families per month in Bertie County, ensuring anyone in need has access to food. Good Shepherd Food Pantry of Bertie County provides large-scale food distributions to residents in Bertie County, including delivering about 150 food boxes per week through the HOP program. Deborah Freeman, executive director of Good Shepherd Food Pantry of Bertie County, uses fresh produce from local farms, which not only generates steady revenue for local businesses like the farm but also provides employment opportunities, contributing to economic stability.
In 2022, Good Shepherd was among the first agencies to join the Access East HOP Program, a decision that has allowed them to hire eight new employees, many of whom are seniors, to help with food delivery, with additional staff packing food boxes and supporting operations through a senior employment program. These positions provide not only financial stability for older adults but also an opportunity for them to give back to their communities. Ninety percent of their drivers are over 70 years old, with additional staff packing food boxes and supporting operations through a senior employment program.
HOP has also helped fund their backpack program, an initiative that provides children with two breakfasts, two lunches, milk, juice, and fresh fruit to ensure children have access to nutritious food. They delivered 9,600 backpack meals to elementary and middle school students in Bertie County during the past school year. Reimbursements from HOP food boxes deliveries provided over $70,000 to fund the backpack program.
“There are so many babies who go to school hungry,” said Freeman. “Teachers know which children are struggling when they come back on Monday. We allow schools to identify those in need, provide a count, and we ensure that backpacks are delivered every Thursday.”
Freeman says her team has witnessed firsthand how HOP has transformed the lives of many people in her county.
“There are just so many stories that come back from my drivers,” said Freeman. “When they go to certain homes, they really get to know the families over months, even a year sometimes, because they keep getting recertified. At first, you have to face the reality of the conditions people are living in, but then you witness the transformation. We provide food, but then other HSOs step in to repair homes and offer more support. One of my drivers shared that, at the beginning, you could see the ground through one person’s house, but by the end of six months, the house had been repaired, food boxes were coming in, and HOP was really helping improve lives.”
While Good Shepherd Food Pantry’s work has helped address food insecurity at the local level, the broader impact of HOP extends beyond individual communities. By supporting local businesses, creating jobs, and providing essential services, HOP helps improve the health and well-being of recipients while adding to local economies.
“HOP not only offers these services to improve the lives of Medicaid patients, HOP also greatly benefits local economies,” said Dixon. “Local businesses are growing and flourishing because of the funds from HOP. It provides a steady income for these businesses, and they’re able to provide services for those in need and even expand their services outside of HOP recipients.”
Since its inception, Access East’s HOP has enrolled 12,190 clients and served 10,396 individuals, ensuring access to essential services. With a total of more than 220,000 contracted services provided, the initiative has had a significant impact on the community. The value of services delivered amounts to $44,454,724, with 223,283 invoices submitted for payment. Access East HOP’s invoicing specialists carefully review each invoice, ensuring accurate payments are made to the HSOs. These funds have been instrumental in supporting both local residents and the HSOs dedicated to serving them, improving access to critical resources.