Improving care, outcomes and costs

Most actuarial data focuses on claims, enrollment numbers and clinical data, but studies suggest that social determinants of health (SDOH) account for up to 80% of modifiable contributors to outcomes.

There are three types of data sources that can help health plans to look at members more holistically. They include:

• Social factors, including socioeconomic status and education
• Community factors, such as crime rates and access to clinical care and food
• Consumer data vendors that provide information, like homeowner status and marital status

Health plans must understand how to leverage this data responsibly and accurately. Download this article to learn how SDOH data can have measurable impact on claims expense, administrative expense and revenue.