Why Social Determinants Need Analytics for Success

By Scott Hampel

Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more.

Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.

For the healthcare industry to find its way to new and innovative SDH programs and to identify those who may benefit, they must be found. While some organizations use referrals following face-to-face meetings with prospective program members, predictive analytics can be utilized to identify many potential enrollees quickly and efficiently, as well.

The data could come from a variety of healthcare or socioeconomic sources

“Analytical capabilities in healthcare can be used to identify patterns of care and discover associations from massive healthcare records, thus providing a broader view for evidence-based clinical practice,” according to an article published in Technological Forecasting & Social Change. “Healthcare analytical systems provide solutions that fill a growing need and allow healthcare organizations to parallel process large data volumes, manipulate real-time, or near real time data, and capture all patients’ visual data or medical records. In doing so, this analysis can identify previously unnoticed patterns in patients….”

Predictive analytics uses a large dataset and an algorithm to, in this instance, identify people who may benefit from help. The data could come from a variety of healthcare or socioeconomic sources, including healthcare facilities and community organizations, and might contain information about:

  • Wellness
  • Chronic conditions
  • Food
  • Transportation
  • Billing codes

The nonprofit eHealth Initiative identified data as crucial to understanding SDOH. “The importance of SDOH data in contributing to the complete picture of individuals and communities cannot be underestimated,” according to the organization.

An issue, however, is the slow adoption of predictive analytics in the healthcare industry. “(R)ecent developments in data analytics also suggest barriers to change that might be more substantial in the health care field than in other parts of the economy,” according to an article published by Brookings. “Despite the immense promise of health analytics, the industry lags behind other major sectors in taking advantage of cutting-edge tools.”

Editorial Team

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Leave a Comment





Get our take on industry trends

Beyond care gap closure: Rethinking clinical strategy in Medicare Advantage

Closing care gaps has become a core focus for Medicare Advantage plans for good reason. Gap closure directly impacts Star Ratings, quality…

Read on...

From awareness to action: Unlocking the financial value of SDOH 

Social determinants of health (SDOH) have become one of healthcare’s biggest strategic priorities, but many organizations still struggle with how to…

Read on...

Enterprise Analytics for Medicare Advantage: Why unified intelligence is the future of MA performance 

Medicare Advantage organizations are facing growing pressure to improve quality outcomes, optimize financial performance, reduce compliance risk, and deliver better member experiences, all…

Read on...

Where Medicare Advantage revenue leaks: The disconnect between RAF, Star Ratings, and MLR 

Most Medicare Advantage revenue loss doesn’t show up where finance teams expect it. It’s not a single variance in a report or a clear…

Read on...