SDoH & The Hidden Barriers to Better Healthcare

The U.S. spends more money on healthcare than any developed nation. Yet health outcomes aren’t improving, even as spending continues to increase. The reason? Failing to address the social determinants of healt

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The High Cost of Incomplete Risk Stratification in Healthcare

Established risk stratification approaches rely on claims data, and medical/condition risk to assess health needs, neglecting other critical data sources. By using SDoH and engagement data, payers and at-risk providers can generate a more accurate prediction of member risk.

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Data-Driven Insights Identify Opportunities for Medicare Advantage Plans

Carrot Health’s CFO Stephen Sigmond recently authored a column in Fierce Healthcare describing how data-driven insights for Medicare Advantage plans can help insurers succeed. Using a data-driven business model, he says, regional health plans can more clearly define their competitive position, identify target markets for entry or expansion, customize product offerings, reduce costs, and save…

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What Payers and Providers Really Need From SDoH Data

Clinicians know that overall health status has more to do with what happens outside the healthcare system than inside it but often don’t have detailed information about the social challenges impacting patients and communities. Even when they do have access to Social Determinants of Health (SDoH) data, it can offer an incomplete picture or lack…

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Data Drives Winning Medicare Advantage Plan Design During 2020 AEP

The big story of 2020 was experimentation — a handful of large national plans achieved significant growth by testing the markets to find the sweet spot of cost structure, flexibility, and supplemental benefits. Transportation, over-the-counter, meal benefits, and telehealth services were just a few of the options national players threw into the mix as they pulled the levers of premiums, co-pays, and deductibles to create plans that would boost enrollment.

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Excitement and Exhaustion: Behind the Scenes at the Accenture HealthTech Challenge

The beauty of this rapid-fire approach is that it strips entrepreneurial ideas to their bare essentials. No room to over-analyze complex technology stacks. No time to explain how the future might look if only reimbursement models might change. No manicured promotional videos. Just speaking solo in front of eight senior leaders each of whom could be a future customer.

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How SDoH Align With Maslow’s Hierarchy of Needs

By looking at these needs as basic human needs, health organizations will avoid the mistake of medicalizing SDoH. It will empower health organizations to go beyond the buzz and clinical protocols as embodied by a set of highly general ICD-10 Z-Codes and SDoH assessments.

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