Closing Care Gaps: How AI, SDOH, and DDOH are Shaping the Future of Health Plans for Better Member Engagement and Health Equity

Healthcare IT Today September 26, 2024
Guest Author

The following is a guest article by Jordan Armstrong, Chief Revenue Officer at ResultsCX

Today’s consumers expect their health plans to be active partners in their healthcare journey, offering affordable options, easy access to care, and robust support for managing chronic conditions. This shift places health plans at the core of the healthcare experience, requiring them to adapt to the evolving member expectations. The rollout of the Centers for Medicare & Medicaid Services (CMS) Health Equity Index (HEI) further underscores this shift by integrating several Star measures and Social Determinants of Health (SDOH) into its evaluation criteria. Studies show that clinical care only accounts for about 20% of health outcomes at the county level, while social factors like housing, food...

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