Tammy Clouse Tomczyk, FSA, MAAA, FCA’s Post

What if i told you that traditional methods of predicting healthcare expenditures are much less accurate for those in lower income brackets? Our Oliver Wyman Predictive Insights (PI) group has partnered with Healthwise data to prove how risk predictions can be greatly improved when adding SDOH data! Exhibit 3 in this article is eye-opening.

Our health and quality of life are not solely determined by genetics or individual choices. Social Determinants of Health (SDoH) play a crucial role in shaping our overall well-being. Recognizing the significant influence of healthcare providers in improving access, quality of care, and community health, the Centers for Medicare and Medicaid Services (CMS) have proposed enhancements and incentives in the CY 2024 Medicare Physician Fee Schedule. These changes aim to address SDoH and promote better health outcomes. In our latest article, working with HealthWise Data, we shed light on the importance of SDoH in relation to health outcomes. We advocate for the inclusion of SDoH in provider/payer contracts to appropriately compensate healthcare providers for managing patients with social risk factors. By doing so, we can drive better health outcomes, reduce healthcare costs, and create healthier communities. Read more> https://owy.mn/3GGGdR5 #OWActuarial #Medicaid #ManagedMedicaid

Thanks for this share, Tammy Clouse Tomczyk, FSA, MAAA, FCA. As we continue to emphasize the #need and #value of improving the integration of #SDOH into the #payment side of #HealthInsurance, it's incredibly important that all #stakeholders stay involve and aware of the #impacts and #outcomes. #PublicPolicy #ImprovingOutcomes #CollaborativeSolutions

In their latest article, Oliver Wyman Actuarial shares how they leveraged HealthWise Data's insights to fuel their study into how #SDOH drives health outcomes and disparities:

Health is not just about individual choices or medical interventions. It's influenced by the social and environmental conditions we live in. Social Determinants of Health (SDoH) encompass various domains that impact our overall well-being. Education Access & Quality, Economic Stability, Social and Community Context, Health Care Access & Quality, and Neighborhood/Built Environment are the key domains within SDoH. Each plays a vital role in shaping community health. To address the significance of SDoH, the Centers for Medicare and Medicaid Services (CMS) have proposed the CY 2024 Medicare Physician Fee Schedule. This rule aims to enhance healthcare providers' ability to manage patients with social risk factors and improve health outcomes. In our latest article, my colleagues Steve Prasad, Nilabh Sanat, and I, in conjunction with our partners at HealthWise Data, shed light on the importance of SDoH and advocate for the integration of SDoH considerations in provider/payer contracts. By appropriately compensating providers for managing patients with social risk factors, we can drive better health outcomes and reduce the total cost of care. Read it here> https://lnkd.in/gszTKn2F #OWActuarial #SocialDeterminantsOfHealth #ManagedMedicaid

Health disparities persist due to various factors beyond individual control. Social Determinants of Health (SDoH) encompass the environmental and societal conditions that significantly impact health outcomes and community well-being. Education Access & Quality, Economic Stability, Social and Community Context, Health Care Access & Quality, and Neighborhood/Built Environment are the key domains within SDoH. Addressing these domains is crucial for achieving health equity. In our latest article, we emphasize the importance of integrating SDoH considerations into provider/payer contracts. By appropriately compensating providers for addressing social risk factors, we can drive better health outcomes and foster healthier communities while reducing healthcare costs. Read the latest article here> https://lnkd.in/gV9iki7h #OWActuarial

Very excited to partner with Oliver Wyman on this important SDoH/Health Equity initiative. I invite you to read further for interesting insights into the strong coorelations between HealthWise Data's predictions of health and wellness and patient outcomes. #healthequity #sdoh

🚨🚨 The Forecast for Legislative and Regulatory Activity on Health Care in 2024 🚨🚨 We may be only a few weeks into the new year, but time is running out for Congress to advance meaningful health initiatives. The deadlines for fiscal year 2024 spending bills are fast approaching, and the Biden administration must enact its regulatory agenda and lay out a vision for a second term. At the link below, Alyssa Llamas, MPH, Lena Marceno, and Lauren Testa, MPH of Impact Health Policy Partners outline key issues to watch: 💊 reining in prescription drug costs, 💻 maintaining telehealth in Medicare, 📈 bolstering the behavioral health workforce pipeline, 💵 improving health care affordability, and 👩🏾⚕️ expanding access to care. They say if these issues aren’t addressed through policy — and if Republicans sweep Congress in November — final rules issued in the last 60 session days of 2024 could be overturned.

Health equity committees and councils are emerging as important vehicles to improve health, address social needs, and reduce disparities. As part of our Health Equity Learning Collaborative, a partnership between the Association for Community Affiliated Plans (ACAP) and the Center for Health Care Strategies, we developed a brief to better understand how Safety Net Health Plans are using health equity groups to advance their efforts in this space and identify best practices. A few keys to success:     🗝️ Ensure leadership buy-in and participation  🗝️ Integrate health equity initiatives into existing structures and work streams  🗝️ Establish clear mechanisms for accountability and decision-making     Read the full report: https://bit.ly/4cpO4Bc     #HealthEquity #Medicaid 

🚨Forecasting Legislative and Regulatory Activity in Health Care for 2024🚨 We may be only a few weeks into the new year, but time is running out for Congress to advance meaningful health initiatives. The deadlines for fiscal year 2024 spending bills are fast approaching, and the Biden administration must enact its regulatory agenda and lay out a vision for a second term. On To the Point, Alyssa Llamas, MPH, Lena Marceno, and Lauren Testa, MPH of Impact Health Policy Partners outline key issues to watch: reining in prescription drug costs, maintaining telehealth in Medicare, bolstering the behavioral health workforce pipeline, improving health care affordability, and expanding access to care. They say if these issues aren’t addressed through policy — and if Republicans sweep Congress in November — final rules issued in the last 60 session days of 2024 could be overturned.