What You Should Know:
– MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) provider, today announced a collaboration with Socially Determined and Mathematica.
– The strategic partnership aims to revolutionize the way the healthcare industry measures, validates, and understands the financial impact of interventions targeting social determinants of health (SDOH).
Transform Social Determinants of Health Interventions
The initiative will provide a data-driven and actuarially validated framework for assessing the return on investment (ROI) of SDOH interventions. By doing so, it seeks to optimize member health outcomes and provide crucial insights for social risk management decisions for payers and providers nationwide.
Social risk factors, such as housing instability, lack of reliable transportation, and unemployment, pose significant hidden costs and create challenges in meeting quality measures for healthcare organizations. The collaboration has developed “Social Risk Insights — Measures & Outcomes,” a first-of-its-kind solution that will be deployed within the MedeAnalytics Health Fabric™ enterprise platform. This solution offers a structured, evidence-based approach to quantify the often-overlooked financial and clinical consequences of social risk.
The partnership strategically leverages the distinct expertise of each organization:
- Socially Determined will contribute proprietary social risk scores derived from its SocialScape® platform. These scores will provide critical insights into the specific social risk factors affecting individual patients.
- MedeAnalytics will serve as the central technology and advanced analytics platform. Its proprietary Health Fabric™ will seamlessly integrate the SDOH risk data with existing financial, clinical, claims, and public data, enabling comprehensive analysis.
- Mathematica will apply its renowned actuarial expertise to validate the findings, quantify the financial impact of SDOH interventions, and develop credible ROI models. Furthermore, Mathematica will provide programmatic expertise and recommend specific interventions, creating a closed-loop system with MedeAnalytics Managed Action™ to translate insights into tangible financial and health outcomes for healthcare organizations.
The scalability of the MedeAnalytics Health Fabric™ will also facilitate stronger alignment with value-based care models. This includes streamlining the implementation of alternative payment models and supporting other critical enterprise analytics initiatives such as quality improvement, network optimization, employer insights, and provider alignment.
“The healthcare system is increasingly accountable for outcomes and disease progression—80% of which are driven by social factors,” said Trenor Williams, CEO of Socially Determined. “By embedding our social risk intelligence into a financial impact framework validated by Mathematica and deployed through MedeAnalytics, we enable healthcare organizations to directly measure and manage the ROI of social interventions at scale.”
