Shawn Bassett, Executive Director Collaborative Health Systems at WellCare Health Plans, discusses how Experian Health social determinants of health data allows them to address the full picture of the patient, and identify underlying issues such as transportation or food insecurity.
Social determinants of health (SDOH) are the non-medical factors of healthcare that account for up to 80 percent of health outcomes. When patients struggle with access to care, face financial hardship, or don't have access to technology, they’re less likely to follow treatment plans or show up to important follow-up visits. Some of these social and economic factors include challenges such as:
Not having a holistic view of patients, outside of the standard clinical data, could result in patients being readmitted and turning to more emergency visits than necessary. Additionally, providers might experience poor quality ratings and less reimbursements and payers could see unnecessary rising costs. If you’re looking to solve for social determinants of health and gain a more holistic view of your patients, we’re here to help.
Solving for social determinants of health leads to real savings for your organization and better health outcomes for your patients and members. Make strides toward improving your Healthcare Effectiveness Data and Information Set (HEDIS) and Star ratings that consider health outcomes and patient engagement strategies.
Attributed to wasted physician time per no-show visit
Daily rate for unnecessary hospital stays
Rate per visit for avoidable emergency department visit
Avoid penalties from Pharmacy Quality Alliance for non-adherence
With deeper insights, you can be proactive and prevent negative health outcomes. Our solutions provide you with analytical expertise, machine learning, and powerful proprietary data. You no longer have to rely on patient surveys that require interpretation and staff resources. Get more than a score. With our social determinants of health offering you gain:
SDOH-specific scores with justifications that provide insight into Why
Non-clinical recommendations to engage with patients to address their barriers to health
Turn-key insight on active and unengaged patients and real-time episode alerts with patient scheduling capabilities
Access our CORE Model heat map of geographic populations across the United States most susceptible to developing cases of severe COVID-19, which would likely result in excessive strain on healthcare resources (and potentially other, associated, supply chain, community infrastructure and policy impacts).