A look at how Medicare Advantage plans are addressing members’ social needs

Fierce Health Technology January 28, 2022
Paige Minemyer

Insurers have a slew of avenues to address social needs in Medicare Advantage, and a new report from the Better Medicare Alliance highlights best practices born from multiple payers’ success stories.

The research, conducted by NORC at the University of Chicago, lumps case studies into three main categories: data sources and beneficiary identification, intervention and evaluation. For example, Humana has developed a data ecosystem that compiles clinical, community and individual member data to identify risks and gaps.

While building out the ability to compile that data poses a challenge, having access to such information is critical to predict members’ needs.

“Social determinants and social needs are really new spaces, from a data perspective,” Andrew Renda, M.D., vice president of Bold...

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