Integrating health and social services for enhanced care management

Integrating health and social services for enhanced care management

To effectively manage patients with complex conditions, thoughtful integration of physical, and mental health services with social care is critical. Social determinants of health such as housing, transportation, and food insecurity are directly correlated to health outcomes. However, social services have been operating in a silo and disconnected from the broader health system. These navigation…

Taking an inclusive approach to health navigation

Culturally sensitive health navigation

All of us experience the healthcare system differently based on our backgrounds, beliefs, and values. That's why our healthcare journeys look different. When we do the analysis, we often find that for the same conditions, different member cohorts use different sites and intensity of care. That's why health navigation needs to evolve from a one-size-fits-all…

Leveraging digital tools for enhanced care management (ECM)

Leveraging digital tools for enhanced care management (ECM)

Over 50% of the annual Medicaid spending is attributed to about 5-10% of members. These high-cost, high-need members typically have several complex health conditions with significant physical, behavioral, and social needs. A large percentage of these members experience health disparities and due to health equity gaps, they are at significant risk for hospitalization, institutionalization, and…