What You Should Know:
– HealthEdge, a provider of next-generation core administrative processing systems (CAPS) and care management solutions, and Unite Us, a technology partner for social care transformation, announced a strategic partnership to empower health plans with the tools to deliver seamless, whole-person care at scale.
– The strategic partnership addresses the Social Determinants of Health (SDOH) needs of members by leveraging the SMART on FHIR interoperability standard.
Integration Empowers Health Plans to Deliver Whole-Person Care at Scale
As part of the partnership, HealthEdge’s GuidingCare® platform will integrate with the Unite Us platform to connect members with essential SDOH resources, such as food and housing services. This innovative partnership has the potential to connect over 20 million U.S. health plan members with the social services they need more efficiently.
Addressing SDOH Needs in Care Management
Social determinants of health (SDOH) play a crucial role in an individual’s overall well-being, impacting health outcomes and quality of life. Factors such as access to food, housing, transportation, and social support can significantly influence a person’s health.
Recognizing the importance of addressing SDOH, healthcare organizations are increasingly seeking ways to integrate social care into their care management programs. This partnership between HealthEdge and Unite Us provides a solution that enables health plans to:
- Identify and address SDOH needs: Screen members for social needs and connect them with appropriate resources.
- Streamline referrals: Facilitate seamless referrals to community-based organizations that provide social services.
- Track and monitor progress: Monitor the effectiveness of interventions and track member outcomes.
- Enhance care coordination: Integrate SDOH information into clinical workflows to provide a holistic view of member needs.
“Our partnership allows care managers to facilitate better health outcomes by ensuring timely and appropriate social services for members, while also supporting compliance with state mandates to improve quality performance,” said Dr. Sandhya Gardner, General Manager of Care Solutions and Chief Medical Officer of HealthEdge. “Care managers will also have an enhanced user experience, allowing them to take full advantage of Unite Us’ capabilities and streamline operations.”
