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Leveraging SDOH in Post-Pandemic Risk Modeling to Overcome Distorted Care Projections for 2021 and Beyond
The uncertainty and risk created by pandemic-related disruptions in care have health plans in uncharted water when it comes to relying on claims data and utilization patterns to inform their risk models. But while these disruptions weakened the reliability of traditional risk models, they also created opportunities to deepen and enrich member data by leveraging consumer and other data related to social determinants of health (SDoH) that can deliver significant performance and accuracy benefits.
Expanding data sources and enhancing analytics capabilities allows health plans to develop the capacity for more precise, holistic member engagement while improving the most impactful health outcomes in individuals and populations. Doing so will help lift Star Ratings, improve care compliance, close gaps, enhance member satisfaction, reduce costs and drive profitability gains.
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Next Generation Physicians Reflect on Overcoming Barriers to Digital Transformation
"The impetus for how EHRs came to be, how they came to be adopted led to this piecemeal system where we have so many different EHRs and they don’t talk to each other," said Dr. Veena Goel Jones, …
Posted Sep 7, 2021 Barriers to Adoption Digital Transformation