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Healthify examines the fundamental challenges health plans face when addressing the social determinants of health and solutions to overcome those barriers.
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The social determinants of health can have significant adverse effects on overall health outcomes and many of these factors often manifest in the emergency department (ED).
According to the Center for Medicare and Medicaid Services (CMS), the number of ED visits has steadily increased over the last 30 years and continues to vary across age groups and health plans.
As members continue to struggle to manage chronic conditions and resort to the ED for care, health plans often shoulder the bulk of the costs.
High rates of readmissions and ED overutilization can have detrimental effects on members and health plans.
How SDoH, claims and community-level data can inform early interventions
How value-based reimbursements can streamline proactive approaches to addressing SDoH
How the right IT tools can support collaborative workflows and serve as the foundation for success
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