April 21, 2024


Imagination at work

UnitedHealthcare is using predictive analytics, developed with Optum, to address the social determinants

Photo: diego_cervo/Getty Pictures

UnitedHealthcare has introduced the use of predictive analytics for employer-sponsored ideas to enable detect men and women in require of aid related to the social determinants of health. 

Produced in collaboration with Optum, the UnitedHealthcare ability can enable employers predict the probability that their staff members may perhaps have a require for a social intervention, examining a lot more than 300 marketplaces throughout the nation and analyzing around a hundred metrics. 

The new ability employs de-recognized claims data from a lot more than a hundred million UnitedHealthcare users. Through analytics and combination claims data, employers can structure and employ healthcare techniques to detect the require for aid. 

The source is presently out there to employers who decide on UnitedHealthcare’s Advocate4Me Elite or Advocate4Me Premier merchandise choices, with ideas to introduce a custom made edition for employers with fully insured health benefits later on this calendar year. 

UnitedHealthcare phone center advocates use serious-time interactions coupled with a curated database of community sources to enable people today.

UnitedHealthcare phone center team are skilled to hear for key words and phrases, this kind of as “I’m hungry,” “I’m possessing hassle generating ends meet,” or “I’m pressured,” and then proactively connect the individual to small- or no-value community sources, UHC explained. 

They enable men and women discover obtain to foods by way of sources this kind of as area foods banks get web or smartphone obtain by way of economic subsidies presented by telecommunications providers discover area aid teams, like for continuing education and mentoring and get help for rent or home loan, baby care or utility expenditures.

The encouraged sources have been evaluated and vetted as providing quality, value-effective services, UHC explained. Considering that introducing the ability, suitable people today have recognized around fifty% of the gives for aid.


The focused aid model is meant to enable remove obstacles to properly-being, diminish out-of-pocket buyer fees and keep away from possible fees for employers.

Predictive analytics can push engagement in scientific intervention plans, UHC explained.

The new ability builds on identical initiatives for UnitedHealthcare Medicare and Medicaid beneficiaries.

Other insurers, this kind of as Humana, have regarded that addressing the social determinants of health allows increase care results and lessen fees.

As component of its 6-calendar year Bold Goal campaign, Humana just lately declared it was collaborating with Signify Overall health and the Alamo Spot Neighborhood Network in Texas to connect all those in require with social services.

THE More substantial Pattern

UnitedHealthcare’s mother or father corporation, UnitedHealth Team, has long invested in serving to handle social determinants of health, like providing a lot more than 1 million referrals to vital social services and contributing around $five hundred million to aid cost-effective housing for men and women throughout the nation. 

In addition, UnitedHealthcare formerly collaborated with the American Clinical Affiliation to produce ICD-10 codes to a lot more specifically diagnose social determinants of health.

Investigation from the Robert Wood Johnson Foundation indicates that various social obstacles effects up to eighty% of a person’s health.
ON THE Report

“UnitedHealthcare is in a exclusive placement to enable increase people’s health and properly-being by addressing social determinants of health,” explained Rebecca Madsen, main buyer officer, UnitedHealthcare. “With COVID-19 highlighting the require to enable close the gap between healthcare and obtain to services that add to properly-being, UnitedHealthcare has incorporated social determinants of health into our advocacy services model, providing men and women with vital aid as they navigate the health technique.”

Twitter: @SusanJMorse
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