
The Medicare Shared Savings Program (MSSP) launched in 2012 and has since grown from 27 ACOs to now 561 covering around 10.5 million beneficiaries in 2018. In August...
At the RISE National conference, Activate Care's Matt Goudreau hosted a roundtable discussion to explore: What barriers prevent you from providing proactive SDoH interventions?
The roundtable sparked engaging conversations with leaders from organizations like Humana, Health Choice Utah, Change Healthcare, Optum, AmeriHealth Caritas, among others from across the country. The first major set of barriers discussed centered around screening for needs- is it done, when and by whom, and what to do with the data once screens are complete. The four main takeaways were:
It became clear during the discussion that data is needed to prove that the effort to screen and act is worth the investment and can be extremely useful in motivating change. So, we asked a follow-up question to the participants in this roundtable:
"How do you collect data for an ROI story?"
A lot of insurers agree that it’s challenging to relate claims data around SDOH work, because of the lack of tracking what’s done and what isn’t done. A complete data set is key to proving that doing the work to proactively address SDOH has a positive impact. This is why having everything in one space to tell the entire story is a game-changer because it shows that the work being done is financially impactful to the bottom line.
Now that we have a complete picture of the barriers organizations face, we asked our participants what they'd look for to address these barriers. We learned two main things from this question:
This roundtable discussion confirms that complete data sets and proof of the impact of SDOH work is vital to driving successful proactive SDOH interventions. We must steer away from traditional, reactive approaches that fall short and leave individuals with poor health outcomes, and payers with high cost and utilization. Activate Care’s newest offering Path Assist is an intervention model that shifts from the reactionary referral-based paradigm to a proactive, whole person care approach. Click the link to learn about how managed care organizations, state and county health departments, and at-risk providers can screen populations for SDOH needs proactively and deploy a workforce of trained Community Health Navigators to guide each member to and through the right care, every time.
The Medicare Shared Savings Program (MSSP) launched in 2012 and has since grown from 27 ACOs to now 561 covering around 10.5 million beneficiaries in 2018. In August...