With 5% of Americans accounting for 50% of the cost of healthcare, it’s easy to see why payers (and providers) tend to focus on those most in need of health intervention – the highest-risk members with multiple co-morbid conditions. They know if they can improve the health outcomes for those members, they can make an impact on the overall cost of care.
Health plan with a choice of physicians. Check. Discounted membership fee to a local gym. Check. Industry-leading prescription drug plan. Check. In fact, you’ve checked all the boxes for a first-rate health plan. So why are your employees still missing more days than normal, and distracted by health matters when they are at work?
Healthcare organizations are looking to tap into the potential value of social determinants of health (SDoH) data. Using this data, companies can identify previously unaddressed gaps in care, the most effective communication channels, and the best approach to delivering the care members need.
The shift from volume-based care to value-based care created countless opportunities and obstacles for healthcare organizations. One of the most important changes has been the impact on member engagement and population health management. More than ever before, care providers must develop a deep understanding of their members to deliver personalized, effective care. Accomplishing this takes the right approach.