Roughly $4 trillion is spent on healthcare annually in the U.S. Despite this massive expenditure, roughly 80% of health outcomes are attributed to social, behavioral, and environmental factors, known as social determinants of health (SDOH).
What has been far less clear is how providers and payers can fully harness SDOH data to proactively manage the health of patients and members. Technological and cultural barriers have made it difficult for disparate parties such as hospitals, state agencies, mental health services, payers, law enforcement, community support organizations, and emergency services to share SDOH data in a way that would enable better coordination of care on an individual and community basis.
It is no coincidence that the intensifying interest in SDOH over the past five years has paralleled the growing interest among providers and payers in value-based care (VBC) models. The ultimate aim of VBC is to improve patient outcomes while lowering healthcare costs. Understanding and accounting for the impact of SDOH are keys.
“Addressing social determinants of health requires an all-hands-on-deck approach that is not limited to stakeholders within the health care system,” said AMA Board Member David H. Aizuss, MD. “By addressing social determinants of health in their benefit designs and coverage, health plans can be part of the effort to improve patient health outcomes.”
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Source: Hitconsultant