Research indicates that 80% of an individual’s health correlates to social determinants of health (SDoH)*, but health plans rarely have access to customized SDoH data. Understanding which determinants affect your population most—such as nutrition, transportation, income, or education—can help you identify and prioritize interventions to improve health outcomes and lower costs. Payers can leverage SDoH data to augment risk scoring, identify short- and long-term costs, improve patient outcomes, and better predict utilization for at-risk populations. Providers can apply SDoH insights to enhance care quality, understand social drivers to reduce readmissions and uncompensated care, and optimize interventions that affect bundled payments. Employers can learn how social risk factors impact performance and proactively develop wellness programs and value-based benefits. Access Robust Reports: Change Healthcare operates one of the nation’s largest warehouses of de-identified claims and remittance data, which is updated daily. We combine aggregated, de-identified data with national-level consumer behavior data to offer a robust, near real-time SDoH Portrait Analysis. Our reports illustrate the correlation between SDoH and the ways in which patient populations use the healthcare system in the following settings: outpatient, inpatient, and emergency room. The SDoH Portrait Analysis includes: • Financial attributes • Education attributes • Housing attributes • Ethnicity • Health behavior attributes Use Data for the Common Good: Change Healthcare operates under the highest standards of HIPAA compliance, including maintainingde-identification and ensuring all data and analytics are statistically verified by a third-party expert. Your claims data and SDoH data will be tokenized and combined to create a unique de-identified dataset for maximum protection. The SDoH Portrait Analysis is easy to comprehend and can be customized for your needs. Access our reports to: • Identify population-level SDoH correlations to optimize intervention and positively impact health outcomes • Analyze SDoH correlations to manage and predict financial risk • Forecast utilization types for at-risk populations • Create proactive alerting services Apply Targeted Interventions: Identify at-risk populations to be profiled, such as frequent healthcare utilizers, patients with high readmittance rates, or patients with chronic conditions. If Change Healthcare already processes your claims, we can append SDoH to your claims and produce analyses. If not, you can supply your claims to us. Report output includes onetime or quarterly SDoH Profiling Reports, showcasing 10 SDoH attributes for your at-risk populations, up to 10,000 members. Your results can drive further report customizations. The cost of care is rising daily, and SDoH matter. Harness the power of integrated consumer and claims data in our SDoH Portrait Analysis to uncover the challenges your at-risk populations face. The insights you receive can help you mitigate these issues and drive lasting change. Together, we can improve patient outcomes and lower costs for your at-risk populations. * The Brookings Institution, “A dozen facts about the economics of the US health-care system.” March 10, 2020. https://www.brookings.edu/research/a-dozen-facts-about-the-economics-of-the-u-s-health-care-system/

Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

Innovaccer’s care management solution enables health systems to drive cost-effective, coordinated care with an integrated solution to unlock value for health plans, from care management to referrals to prior authorization. The patient-centered solution that connects every care journey touchpoints into personalized 1-to-1 health moments powered by 360-degree patient profiles and prospective patients inclusive of EMR, clinical, financial, SDoH, patient data for better care delivery. With predictive models, the solution can predict any health system’s total cost of care to a much higher degree of accuracy than industry standards for better management of resources. It also offers wide range of workflows that assists cares teams to simplify redundant tasks, bridging care and coding gaps, facilitating contextual, relevant, and dynamic bidirectional communication to deliver care outcomes. 

An intelligent care management solution that empowers care teams to drive an outstanding care experience through Innovaccer’s unified patient record, comprehensive care platform with integrated workflows and advanced analytics. Care Management solution delivers actionable insights to care teams, helping them drive personalized and impactful care at every step of the patient journey. It also allows them to effectively prioritize clinical needs and care gaps while simultaneously tracking their performance to create best practices going forward. 

While most of our features and functionality are pre-built, we collaborate closely with each client during the negotiation and implementation phases of each project to customize reports, workflows, etc. to best meet each client’s needs, and are willing and able to adapt our roadmap and client-specific efforts to further adapt our integrated data model platform and integrated applications.

Innovaccer understands that value-based organizations require cohort-driven, strategy appropriate, and tactically relevant programs to drive provider and patient compliance. Innovaccer works together with the customer during the contracting and implementation phase to craft multiple programs that take client-specific needs into consideration, including the comprehensiveness and efficiency of cohort-specific evidence-based guidelines; benchmarking flexibility; and multiple risk model assignment.