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Data Sheet: GuidingCare SDOH Integrations

Social Determinants of Health (SDOH) shape an estimated 40 percent of a person’s overall health.

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GuidingCare SDOH Integrations

Social Determinants of Health (SDOH) have a profound impact, shaping an estimated 40% of a person's overall health. The GuidingCare® platform seamlessly integrates with multiple SDOH partners, enabling health plans to connect their members with essential social services exactly when the need is recognized.

Key Benefits

Quickly Locate Social Services and Make Referrals:

  • Instantly connect to local resources across the United States.
  • Facilitate referrals for housing, food, employment, financial assistance, transportation, and other services directly from the GuidingCare platform.

Track Progress and Measure Outcomes:

  • Monitor if a member accepted a referral.
  • Track the member's progress and report outcomes within the GuidingCare system.

Improve Quality Performance Measures:

  • Support emerging requirements from CMS, state Medicaid programs, and accrediting bodies like NCQA.
  • Address social needs to close care gaps and improve Star ratings.
  • How It Works

GuidingCare's SDOH integration solution automates data exchange between Care Management workflows and SDOH management systems. Care coordinators can:

  1. Find SDOH providers that are convenient for members.
  2. Coordinate referrals and appointments.
  3. Document follow-ups and notes directly within the GuidingCare interface.

This consolidation of data provides a comprehensive view of health plans and facilitates identification of high-risk members, available interventions, and progress towards goals.

An Integrated Ecosystem for Better Member Health & Well-Being

GuidingCare partners with best-in-class SDOH provider networks to offer health plans options that best fit their community needs.

Social Services Search & Referral:

  • Integration with FindHelp provides instant access to localized listings with hundreds of programs across every ZIP code in the United States.

Integration of SDOH Insights:

  • Collaboration with WellSky helps address nonclinical factors such as poverty, housing instability, and food insecurity.

GuidingCare Member Social Services + Ecosystem Enablement

GuidingCare offers a robust integration suite to connect health plans to their vendor ecosystem, delivering:

  • Standard implementation for faster deployment.
  • Improved workflow efficiencies.
  • Extra support each step of the way.