About: Stephanie Kaslly

The US Department of Health and Human Services defines social determinants of health (SDOH) as, “the conditions in the environment in which people live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes.” SDOH can be grouped into five categories:

• Economic stability
• Education access...

For health plans, managing disparate data is complex, costly, and resource-intensive. Plans consolidate their members’ health data from multiple sources: medical claims, PBM/RX, care management, family history, business intelligence (BI) and analytics outputs, labs, health coaching, disease category, and eligibility. Having reliable data readily available is a paramount concern for health plans. It is used to...