Client Results: Healthcare Transformation that Addressed Social Determinants of Health

Top 3 Areas of Impact

Statewide Health Equity Advancement

Established a coordinated program to reduce disparities and improve outcomes for vulnerable communities.

Regional Insight & Prioritization

Identified localized SDOH gaps and opportunities through targeted assessments and stakeholder collaboration.

Sustainable Community Partnership Model

Enabled long-term coordination among health plans, health systems, and community-based organizations.

Client Overview

The client is a managed care organization regional collective that collaboratively ensures access to high quality healthcare to Medicaid members across their state.

Deliverables

  • Five Regional Strategic Plans

  • Statewide Facilitation & Governance Structure

  • Monitoring & Implementation Methodology

What Drove the Engagement

Challenge

The client faced an opportunity to stand up a state-wide program to facilitate a collaborative approach to plan and coordinate activities that address regional social determinants of health (SDOH), reduce health disparities and promote health equity and value in care. They had no existing program structure or facilitation and needed to develop regional strategic plans that would assess state-wide needs and intervention opportunities to improve the health of vulnerable communities.

Solutions

ProspHire facilitated regional councils to implement the planning and coordination of activities that address social determinants of health and promote health equity. They analyzed key metrics, led localized discussions to isolate pain points and gaps and identified regional opportunities for improvement. During this process, ProspHire developed regional strategic plans proposing SDOH focused interventions to reduce existing health disparities across vulnerable communities. The team used industry best practices to develop the strategic recommendations and gain statewide support to collaboratively execute the recommendations.

Impact

ProspHire delivered five regional strategic plans complete with community assessments and recommendations to improve the health of communities of greatest need based on local priorities. These recommendations focus on collaborative opportunities between health plans, health systems and community-based organizations. They also provided methodology to monitor and implement improvement strategies, ensuring continued progress, development and a sustained statewide program.

Julie Evans

Senior Manager

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