Social Determinants of Health-What are Health Plans Doing?

The idiom social determinants of health (SDOH) has been buzzing around the country for several years. The widespread acknowledgement behind this concept proves these determinants to be essential in achieving the best health outcomes for a variety of individuals. Although many health plans have been working on projects to address these factors, we’ve witnessed a lack of transparency, socioeconomic challenges, and isolation. 

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Converging Social Determinants of Health and Medicaid Managed Care

Policymakers are recognizing the impact that social and economic factors have on a consumer’s approach to healthcare. Access to housing, healthy food, and income must be taken into consideration as a person determines the appropriate health plan coverage. Social determinants of health (SDOH) can control up to 80% of health outcomes according research by the Robert Wood Johnson Foundation (RWJF). This statistic encompasses mainly Medicaid’s low-income enrollees who struggle with covering basic needs.

In this blog we’ll discuss the growing focus around Medicaid Managed Care and how social determinants of health can recover health outcomes.

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Healthcare Consumers Demand Convenience

Consumers are showing an increased demand for patient-centric portals with simplified transparency. More specifically, healthcare payers are seeking a convenient way to receive and review electronic health records (EHR) within the current market. With these recent developments, 68% of physicians believe they are prepared to provide quality in the midst of a changing industry, as stated by Healthcare Finance. This innovative revolution has consumers interested in technologies that will aid in managing their health.

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The Rise of Digital Health Technology

In the hype of technological advancements, healthcare innovation presents exciting opportunities to enhance quality of life. As individuals age, an intensely personal experience, people can get lost in the rapid transformation. It is vital to put consumers at the center of the member experience, provide a “one stop shop” for all, integrate member validation and enrollment, and drive innovation through iterative development.  

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Product talk: Switchboard

An innovative configuration management platform has arrived. We’re excited to introduce Switchboard, Softheon’s straightforward system to make updates in real-time to front-end, back-end, and user interface (UI) design. Our comprehensible platform was built for product owners, managers, and developers to implement simple, everyday tasks to more complex projects for those with more configuration knowledge.

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CBO Report: A New Framework on Single-Payer Health Care

Earlier this month, the Congressional Budget Office (CBO) released a report outlining options and technicalities lawmakers need to consider to establish a single-payer health care system in the United States. Although a lot to assess, the “single-payer” term generally refers to a system in which health care is paid for by a single public authority, as stated by Kaiser Health News (KHN). While once a pipe dream, this topic is officially mainstream and cultivating questions quickly.  

Here’s what you need to know: 

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The Rise of Healthcare Payment Innovation

As healthcare undergoes a rapid digital transformation, we can expect to see the modernization of outdated payment models. The consumer demand for payment convenience has become a top priority for insurers, carriers, and all businesses in the healthcare industry. While selecting health insurance based on health status is important, consumers are also shopping for a plan that fits their digital lifestyle.  

Here’s how Softheon is paving the way in payment innovation: 

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