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Even as the summer winds down, the topic of using supplemental benefits to address social determinants of health (SDOH) in Medicare Advantage is getting hotter.
Care management and social determinants of health (SDOH) programs must work together to address a more comprehensive picture of member health. Currently, more than 40% of the most substantial impacts on members’ health are social and economic factors. The idea of care is changing with the shift from service-based care to value-based care, especially for Medicare Advantage members with multiple chronic conditions.
Last month, several hundred people congregated in Washington DC for RISE’s National Summit on Social Determinants. It proved to be a rich, dynamic conference, jam-packed with education, discussion, and debate from diverse set of cross-sector attendees.
Many health plans experience vendor challenges when leaning on multiple vendors for their risk adjustment programs in the home or primary care setting. From inconsistent data, potential member overlap in programs, and more, all which cause several negative effects on your risk adjustment and quality programs resulting in less desirable overall results.