Social Determinants of Health (SDoH) Survey and Communications

Background

The Social Determinants of Health (SDoH) survey is an annual requirement of The Centers for Medicare & Medicaid Services (CMS) for all ACO REACH practices to obtain data and then address health disparities for their Medicare beneficiaries. ​The more patients who take the survey, the bigger the impact. With accurate documentation, practices can get the appropriate resources to best support patients.

Objective

• Collect SDoH data while ensuring a seamless experience for both practices and patients​
• Deliver clean data to CMS by the established deadline ​
• Collect data from 100% of PY25 REACH ACOs to achieve maximum quality earn back.

Strategy

• Create communication series with three different outreach mediums (SMS, Email, Direct Mail) to increase the odds of engagement 
• Remove survey submissions from remaining communications
• Send data to practices weekly so they can address identified issues and provide assistance before the end of the year

Results

• Successfully deploying 100% of survey data will result in an estimated $1.5M quality earn back for the company​
• Practices will outreach their high-risk patients to provide care and improve conditions