Health Through Food
Our goal within this priority area is that everyone in North Carolina has access to healthy food.
Perspective
Consumption of healthy food is one of the most important building blocks of health. Unfortunately, in North Carolina food insecurity and lack of access to nutritious food in particular are significant and growing concerns.
Our state has the 10th highest rate of food insecurity in the country, a problem that affects children, older adults, communities of color, and those living in rural areas more than others. Higher levels of food insecurity are linked to decreased life expectancy as well as economic impacts that strain households, schools, and the health care system.
Nutrition security – or access to healthy food – is taking just as big a toll, impacting 1.2 million residents. Not being able to access or afford healthy food is having significant bearing on health outcomes, particularly diet-related chronic illnesses with heart disease and diabetes, two of the leading causes of mortality in the state. These chronic conditions are also the highest cost drivers for our state’s health care system.
Yet there’s hope. Opening avenues to healthy food, and therefore improved health is achievable. North Carolina’s flourishing local food system, long growing season, and high agricultural production, along with collaboration involving farmers, community-based organizations, nonprofits, and health care leaders, presents a unique opportunity to address the various roadblocks to getting healthier food in the hands of more people throughout the state.
Approach
Our approach centers on helping bring together, participating in, and supporting a network of organizations working together to address food and nutrition security while benefiting those who produce, process, and make available healthy food. Specifically, this includes:
- Increasing the adoption and expansion of Food is Medicine interventions into health care practice, with a particular focus on partnerships that integrate community-based organizations.
- Boosting sustained access to healthy, affordable food for all and helping transform the way food reaches families.
- Creating conditions that promote lifelong healthy eating for individuals.
Examples of our Work in this Area
- We are supporting, and learning from, nine community-based Food is Medicine programs throughout North Carolina. They range from small operations serving rural or other under-resourced neighborhoods to the largest produce prescription program in the country, whose footprint spans the entire state.
- We are supporting a network of grassroots organizations across the state to expand their ability to advocate for systems and policy change, in order to increase access to healthy food for those most food insecure.
- Our investment in the NC Food Hub Collaborative, which supports local food hubs in counties across the state working to increase access to healthy food and build a stronger food system for all.
Food is Medicine
North Carolina is fertile ground for an approach that bolsters health care’s role in addressing food security and opens doors to healthy food, all while leveraging the expertise and leadership of two of the state’s great resources - its people and the work of our community-based organizations. Learn more.
Food for Thought: A Vision For Generative 'Food Is Medicine'
North Carolina has a wealth of Food is Medicine programs that are addressing food insecurity and diet-related conditions for people across our state. The backbone and heart of many of these efforts are nonprofit community-based organizations along with small and mid-sized farms. In the April 2025 issue of Health Affairs - which is focused on food, nutrition, and health - Blue Cross NC Foundation staff bring this to light and call for a generative Food is Medicine approach that values and supports local, community-based interventions to maximize their impact. Learn more.
Spotlight: North Carolina's Food Hubs
There is an opportunity to leverage food grown in North Carolina to help more people living in the state access healthy food while doing this in a way that brings benefit to our local farmers and local economies. How can this be achieved? One answer is food hubs. Learn more.