Meals MATTER: A Trial of Medically Tailored Meals 2 Weeks vs. 4 Weeks Post Hospital Discharge

Inclusion Criteria:

* Age 18 or older, with no upper age limit
* Hospitalized at Saint Joseph Hospital or Good Samaritan Medical Center with the anticipation that they will be discharged home
* Member of a KP health plan
* Have one or more of the following conditions:

  * Heart failure
  * Cancer
  * End-stage renal disease (ESRD)/chronic renal disease
  * Chronic obstructive pulmonary disease (COPD)
  * Diabetes Mellitus
  * Chronic liver disease/cirrhosis

Exclusion Criteria:

* Patient discharged to a nursing home, an assisted living facility, or another setting where meals are institutionally provided
* Patient has a health condition which is incompatible with the diet choices offered by Project Angel Heart (PAH - food service vendor)
* Patient refuses the type of meal best for their medical condition
* Patient has dementia
* Patient is pregnant or hospitalized peri-partum
* Patient is an active participant in a PAH program or another meal program
* Patient is unable to speak English or Spanish
* PAH unable to deliver meals due to patient not being in PAH service area
* Patient was discharged from the hospital within 24 hours of admission
* Patient whose household member has enrolled in the Meals MATTER study
* Patient discharged to hospice care