Diet-related chronic conditions are one of North Carolina’s largest health cost drivers. They claim nearly 50,000 lives each year and are projected to cost our state $65 billion over the next five years (PDF). That burden doesn’t just strain families. It slows business growth and weakens workforce productivity statewide.
Health care affordability will not improve if we keep intervening after disease takes hold. Today, we spend most of our resources managing chronic conditions once they are entrenched. Then we ask why costs keep rising.
The outcome is predictable. If we want different results, we must act earlier. We need smarter support, introduced sooner.
That shift begins with nutrition.
Nutrition remains one of the most underused levers in health care, even though many of the conditions driving long-term costs are related to diet. Diabetes. Heart disease. Hypertension. These conditions don’t appear overnight. They develop gradually, shaped by limited access, uneven support, and gaps in nutrition knowledge.
When nutritional support starts earlier, risk is easier to manage. Outcomes improve. Costs grow more slowly. Early intervention changes the trajectory before care becomes complex, reactive, and expensive.
This is why many Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plans include up to 30 visits each year with an in-network licensed dietitian at no cost. The benefit is available to covered family members and designed to fit into members' lifestyle.
Through in person or virtual visits, members work with licensed dietitians who tailor guidance to their health conditions, routines, and preferences. The goal is not rapid transformation, but steady sustainable progress. That kind of personalized and preventive support matters because it addresses a major cost driver before it accelerates.
At the same time, clinical care alone cannot solve the health care affordability issue.
Across North Carolina, access to healthy food varies widely by community. Food and nutrition insecurity shape health outcomes in ways medical care cannot fully offset. As Dr. Tunde Sotunde, President and CEO of Blue Cross NC, recently noted in the Triangle Business Journal, food must be treated as a core health care strategy, not a peripheral concern.
Affordability requires action beyond traditional care delivery. Food and nutrition sit at the center of that shift.
Blue Cross NC is among the first commercial payers in the country to offer a Feed Your Health program at no cost to members.
The program targets chronic conditions by combining access to nutritious, medically tailored, and culturally relevant meals with one-on-one support from a registered dietitian. Members receive groceries, prepared meals, and personalized nutrition coaching, at no cost.
Results show measurable impact: participants have achieved an average 1.5-point reduction in A1C within 16 weeks, demonstrating meaningful improvement in diabetes management and overall health outcomes.
These efforts are long-term investments (PDF), focused on improving affordability by better managing and preventing chronic conditions, lowering total medical costs.
Access to nutritious food is essential for the health and well-being of our members and communities. By improving health through food, we can not only positively impact health outcomes and help prevent and manage chronic conditions but also make health care more affordable for all.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
Information in other languages: Español 中文 Tiếng Việt 한국어 Français العَرَبِيَّة Hmoob ру́сский Tagalog ગુજરાતી ភាសាខ្មែរ Deutsch हिन्दी ລາວ 日本語
© 2026 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.