Healthify Blog

The ROI Associated With Addressing SDoH

Download the case study to learn how Reading Hospital partnered with Healthify to address SDoH

As payors and providers continue to develop programs to address the social determinants of health (SDoH) to improve health outcomes, many organizations are beginning to see the ROI associated with whole-person care. One of those organizations is Reading Hospital.

Topics: social determinants of health Medicaid Medicare case study

Three Healthcare Trends Expected to Impact SDoH

These big-picture trends may play a role in shaping SDoH strategies in 2020

As COVID-19 continues to spread rapidly, preliminary data shows that low-income Americans are much more susceptible to catching — and dying from — the virus. It's a powerful reminder that social determinants of health (SDoH) are critical drivers of overall health outcomes.

Topics: social determinants of health Medicaid public health Medicare

Leveraging Supplemental Benefits to Address SDoH

Flexibility in MA supplemental benefits can move the needle on outcomes

The coronavirus outbreak first suspended — then upended — ordinary life for most Americans. Now, with the explosion of COVID-19 cases across the country, broader health and safety concerns around the epidemic are hitting close to home. The recently enacted coronavirus emergency supplemental legislation, which includes enhanced telehealth coverage for Medicare beneficiaries, will then be welcome news.

Topics: social determinants of health public health Medicare

CMS Updates Medicare Advantage Payment Policies, What It Means for SDoH

New supplemental benefit coverage may help address SDoH amongst seniors

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) finalized new Medicare Advantage payment policies for 2020 that will increase competition among health plans, so patients receive higher quality care at lower costs. The changes announced by CMS will increase plan choices and benefits, allowing seniors the option to choose Medicare Advantage plans that offer supplemental benefits customized to their specific needs. Additionally, the new policies will also give chronically ill patients with Medicare Advantage plans access to a range of supplemental benefits that aren’t exactly health-related, but may improve or maintain their overall health.

Topics: social determinants of health Medicare

Using Dual Eligible Plans to Improve Care for our Most Costly Patients

Dennis Heaphy, a Boston resident and 30-year quadriplegic, received new health care coverage in 2014. As part of initiatives ushered in with the Accountable Care Act, Heaphy, a low-income disabled individual, was able to stay home and in his community. This was a drastic change from the expensive and disruptive alternative he was all too familiar with—frequent visits to the hospital and long-term stays at skilled nursing facilities.

Now, improvements are being tested in a pilot program—“dual eligible” plans—aimed at providing better coordinated care for patients like Heaphy, who is among a group of the most costly and complex patients.  

Topics: Medicaid coordinated care Medicare dual eligibles