SDoH/HRSN, CBO Integration and Utilization, and CBO IPAs
Leverage community-based organizations (CBOs) as important stakeholders that provide services and resources to the most disadvantaged populations to address social determinants of health (SDoH) and Chronic disease management. CBO’s play a vital role of building trusting relationships to assist in improving the targeted populations health by coordination and collaboration between health systems, providers, and community resources.
Our Approach
Complete member centric SDoH Assessments to identify holistic, medical, behavioral health and psychosocial needs
Partnership between providers/IPA’s with CBO’s to assist members navigate the healthcare continuum for appropriate resources/solutions
Identify rising and high-risk avoidable admissions and readmissions
Emergency department avoidance and promotion of wellness programs to stay healthy
Best practice recommendations for Utilization Management (UM) program structure, program protocols, guidelines, workflows, staffing and mechanisms to manage UM activities
Staff training and educational materials
Related Solutions
Value-Based Payment Roadmap
Network Adequacy, Analytics, Optimization, Build
Risk-bearing Entities (CINs, IPA, ACO) Build or Optimization
Clinical Redesign
Care Management
FQHC Look-alike
Payer and Provider Contract Management and Optimization
MSO or TPA Buy or Build
Analytics for Risk Contracting (ARC)
Care Team Recruitment & Training
