As a network, we decided to prioritize data capture around a major crisis facing Washington state: homelessness. Our population health economics team undertook an analysis that showed the state of Washington’s Medicaid authority that homelessness was a major issue for our members. Our team examined claims and other self-reported health risk data to conclude 17,908 or (7.1%) of members are potentially homeless or face housing insecurity.
The data we collect will help us receive additional funding to support our members, while also making it possible for our teams to better manage members’ health outcomes and address housing insecurity. As a result of implementing this analytics platform, we now receive premium payments from the state to help our members address their health needs to provide whole-person care.
Through CPHW’s analytics investment with Arcadia, we have been able to administer an innovative pay-for-performance program, drive value-based payments, run a strong risk documentation program and support quality improvement initiatives across the network. With improved SDoH documentation, we can now provide more resources for our provider network to address the social and health needs of our most vulnerable populations. It all starts with an organized community effort to initiate and implement key changes to our healthcare system, like capturing the right data, to address SDoH and improve long-term health for all people.
About the author: Jennifer Polello is a health care professional with expertise in chronic disease management and clinical care coordination programs and services. Professional experience includes public health policy and administration, finance, quality improvement, clinical decision support, health information technology and clinical transformation. She is currently serving as the Senior Director of Quality and Clinical Transformation at Community Health Plan of Washington which serves 20 federally qualified community health centers across the state of Washington.Back to HCB News
