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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Product talk: Lighthouse

A modernized platform that allows carriers to submit tickets for updates, production processes, operations, and project changes has finally been built. We are excited to introduce Lighthouse, Softheon’s support product that allows our carriers to connect with us around the clock to resolve issues as quickly as possible. 

Here’s how Lighthouse works: 


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Debating A.I.’s Role in Health Care

No longer a hypothetical tool, artificial intelligence (A.I.) has planted its feet in health care globally. It is already being used by Google in some of India’s hospitals to fight diabetic blindness, and the Food and Drug Administration (FDA) approved the first machine learning (ML) algorithm to measure how much blood flows through the heart in 2018.  


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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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Artificial Intelligence and Machine Learning Made Simpler

From rumors of radiologists being replaced to Twitter bots going rogue, artificial intelligence (AI) and machine learning (ML) have become buzzwords we’ve all heard about. There has been much discussion on the breakthroughs both could bring to how fields traditionally function, like patient diagnosis in health care. Many have also warned of their potential and history of bias and abuse. Given the gravity surrounding AI and ML, and with much help from an excellent Ars Technica piece by Haomiao Huang, we’ve created a guide geared towards non-technical individuals to help them learn more about the basics of these technologies.


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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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