
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.”
Get our take on industry trends
AHIP26: Turning Healthcare Complexity into Measurable Performance
Health plans are navigating rising medical costs, intensifying regulatory demands, margin pressure, evolving member expectations, and growing operational complexity, all…
Read on...The Medicare Advantage retention gap: Turning member experience into a growth strategy
Growth in Medicare Advantage has become increasingly difficult to sustain. Acquisition costs are rising, competition is intensifying, and members are…
Read on...Why “good” isn’t good enough: The hidden cost of sub-4 Star Medicare Advantage performance
Healthcare outcomes have never mattered more, and achieving exceptional performance has never been harder. Many mid-to-large health plans are below the 4-Star threshold in Medicare Advantage (MA).…
Read on...From conversation to coordination: Key takeaways from OpsIgnite 2026
OpsIgnite 2026 brought together operational leaders from across the Blues ecosystem for four days of candid conversation, practical insights, and…
Read on...