CMS Officials’ Bold Statement of Intent Around Health Equity and Value-Based Care

January 14, 2022acoACO, ACOs, CMS, health equity, SDOH, social determinants, social determinants of health, value-based care, vbc

As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…

How a pandemic shines a brighter light on the need for SDoH innovation

November 26, 2021Garrett SchmittNo CommentsCOVID-19, COVID-19 pandemic, health technology, healthcare technology, pandemic, SDOH, social determinants, social determinants of health, Telehealth, Telemedicine, value-based care, vbc, virtual care

In early 2020, healthcare leaders from payers to providers to technology services providers found themselves at a crossroads—innovate or fail to care for patients. I had the privilege recently of joining a virtual roundtable with a group of healthcare leaders to talk about the transformation of patient care, engagement and outreach. The panel focused on…

SDOH initiatives took center stage at HLTH 2021, but will they truly take shape off stage?

November 17, 2021Garrett SchmittNo CommentsHLTH, HLTH 2021, SDOH, social determinants, social determinants of health

Being diagnosed with multiple sclerosis (MS) can transform even the most easygoing, unflappable individual into a full-time worrywart. Even in periods of extended remission, when symptoms are kept mercifully at bay for weeks or even months at a time, the disease has other ways of making its presence felt. Looming on the outer reaches of…

Clinician-Led Drive Fueled Social Determinants of Health Screening

October 25, 2021Garrett SchmittNo Commentsequity, health equity, health outcomes, healthcare equity, MercyOne, risk factors, SDOH, social determinants, social determinants of health

For MercyOne, digital social determinants of health screening was a clinician-led pursuit. When the Iowa-based hospital and clinic system began screening for social risk factors in 2017, its leaders were responding to pushes from providers who noted the role these factors play in overall patient health. “We’d heard from our providers that health-related social needs…

Providers are putting more focus than ever on health equity. Here’s how payers can support them

October 11, 2021Garrett SchmittNo Commentshealth equity, healthcare disparities, healthcare equity, Payers, SDOH, social determinants

Health equity is increasingly a priority for providers, and insurers can be a key partner in supporting those efforts, according to the Institute for Healthcare Improvement (IHI). More than half of health systems surveyed (58%) identified health equity as a top priority, up from 25% saying the same in 2019. Equity placed second to safety in the…

Incorporating social determinants of health: Simplest solution may give the best results

October 7, 2021Garrett SchmittNo CommentsPredictive Modeling, SDOH, social determinants, social determinants of health

Healthcare only accounts for a small percentage of a person’s overall wellbeing and health, but external factors such as socioeconomic status and access to food are difficult to capture and leverage within the healthcare system. Machine learning models may help bridge that gap. Research from Regenstrief Institute and Indiana University Richard M. Fairbanks School of…

Acknowledging Economic Stability as a Primary Social Determinant of Health

October 4, 2021Garrett SchmittNo Commentseconomic stability, healthcare barriers, high-risk, SDOH, social determinants, social determinants of health

The concept of holistic, or whole person, care continues to gain traction as the best way to address the healthcare sector’s overall mission of improved health outcomes, lower costs and improved patient experiences. Understanding the role of social determinants of health (SDOH) has become a primary focus for providers, payers, consumers and government agencies because…

Up Your Coding Game to Better Leverage SDOH

September 28, 2021Garrett SchmittNo CommentsCoding, health data, healthcare data, revenue cycle, SDOH, social determinants, social determinants of health

Applying data governance strategies can help healthcare facilities capture and use social determinants of health (SDOH) data, and a key part of that process is appropriate coding, according to an American Health Information Management Association (AHIMA) white paper. “When it comes to revenue cycle, I think what it comes down to is quality,” Julie A. Pursley, MSHI, RHIA,…

SDOH Strategies All Provider Organizations Should be Adopting Now

September 24, 2021Garrett SchmittNo CommentsCOVID-19, pandemic, SDOH, social determinants, social determinants of health

There is growing concern among many well-respected providers about the consequences of fewer preventive services over the past 1½ years as a result of the COVID-19 pandemic. As patients slowly start to resume care throughout 2021 and into 2022, experts predict we will see a spike in the number of severe or late-stage diagnoses that normally…

The State of Payer, CBO Social Determinants of Health Contracting

September 22, 2021Garrett SchmittNo Commentscommunity, community-based, community-based organizations, Medicare Advantage, SDOH, social determinants, social determinants of health, value-based, value-based care, value-based contracting, vbc

Social determinants of health contracting with community-based organizations remains a complex and challenging task for payers as the demand for answers grows more pressing. As the industry’s awareness of social determinants of health expands, so does the need for evidence-based solutions. Often, these solutions require health insurers and health systems to contract with community-based organizations…

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