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.

HQP is a proven independent provider of program evaluation and outcomes verification services to healthcare organizations. Our unique data analytics solution comprises a cloud-based data integration platform, rigorous comparative analytics processes, and professional services expertise required to help determine what really works in value-based care. HQP engages with healthcare organizations committed to value-based care that recognize the importance of independently validating outcomes of vendors, investments, and programs. HQP serves as a third party, independent partner to measure performance and outcomes of existing shared-risk programs and vendor relationships tied to value-based metrics. Our analyses help clients support investment decisions, vendor renewals, or payment allocations by leveraging our outcomes verification methodologies. Our outcomes verification services help organizations determine what really works without any marketing spin ranging from specific interventions to service-line operations, identification of gaps in population health programs and interventions, evaluations of vendor performance and impact, allocation of payments for risk-based contracts, and more. Our services help healthcare organizations produce measurable clinical, financial, and operational improvements through statistical and trustworthy analyses. We envision a future where all healthcare programs are designed as a whole-system and decisions are data informed.

Health Quality Partners (HQP) is a 501(c)(3) non-profit R&D organization committed to designing, testing, and disseminating more effective systems of care for vulnerable patients. HQP's unique design and system thinking approach has proven to reduce suffering, improve health outcomes, and can lower the overall cost of health care. This has already been convincingly demonstrated among higher risk chronically ill older adults. As tested within the Medicare Coordinated Care Demonstration and with Aetna, HQP’s model of Community-based Advanced Preventive Care, significantly reduced hospitalizations, deaths, and total Part A & B Medicare expenditures.