To evaluate whether a screening assessment tool that identifies
medical and social risk factors is predictive of healthcare costs in the
absence of claims data. To evaluate the effectiveness of screening
for social factors to target high cost beneficiaries.
A retrospective study evaluating medical and pharmacy claims
costs a year after the behavioral and social risk assessment was
We analyzed medical and pharmacy claims, medical and social
risk assessment information, and patient enrollment data for 7,762
newly-eligible Medicaid adults. We controlled for age, gender, and
common chronic diseases. We performed multivariable regressions
across cost and utilization outcome measures, created risk stratification
groups and assessed hospital utilization and spending based on
the number and type of social factors.
Although many managed care networks do not systematically
collect social and behavioral risk factors in a medical setting, social
risk factors are associated with an increase in healthcare costs.
Healthcare costs were $65 Per Member Per Month higher for beneficiaries
who had trouble securing food, clothing, or housing (95%
Confidence Interval [CI], $10 to $119; P=0.02). The presence of 1-3
addressable risk factors is associated with $132 higher Per Member
Per Month spending, even when both groups reported infrequent
hospitalizations (95% Confidence Interval [CI], $77 to $188; P<0.001).
Social risk factors lead to an increase in healthcare cost and utilization
even after controlling for past hospital utilization, chronic conditions,
age, and gender. Managed care networks should routinely
screen for social factors to target at-risk patients to better manage
long-term healthcare costs.
Keywords: Care management solutions; Medicaid expansion; Social
determinants of health
MHNU Corporation d/b/a Medical Home Network (hereinafter “MHN”, “we” or “us”), operates one or more websites (the “Website”) in support of its mission to achieve the Triple Aim for traditionally underserved populations -- improving individual experiences with the health care system, improving the health of populations, and reducing costs of care.
The Website is offered and available to users who are 18 years of age or older and reside in the United States of America or its territories. By using this Website, you represent and warrant that you are of legal age to form a binding contract with MHN. If you are not 18 or older, you must not access or use the Website.
THIS AGREEMENT CONTAINS A MANDATORY ARBITRATION OF DISPUTES PROVISION THAT REQUIRES THE USE OF MEDIATION OR ARBITRATION ON AN INDIVIDUAL BASIS TO RESOLVE DISPUTES, RATHER THAN JURY TRIALS OR CLASS ACTION LITIGATION.
You must treat your user name, password or any other piece of information provided as part of our security procedures, as confidential, and you must not disclose it to any other person or entity. You also acknowledge that your account is personal to you and agree not to provide any other person with access to this Website or portions of it using your user name, password or other security information. You agree to notify us immediately of any unauthorized access to or use of your user name or password or any other breach of security. You also agree to ensure that you exit from your account at the end of each session. We strongly recommend that you not access the Website from a public computer. If you must do so you should use particular caution when accessing your account from a public or shared computer so that others are not able to view or record your password or other personal information.
All rights, title and interest in and to the Website, including its content and all intellectual property rights, including all copyright, trademark, patent and trade secret rights therein (the “Content”) shall remain with MHN and/or MHN’s licensees, licensors and any other providers of material to the Website; no ownership interest is transferred to users or any other entity by virtue of making the Content available in the Website.
If you wish to make any use of material on the Website other than that set out in this section, please address your request to: email@example.com.
You must not use the Website:
Additionally, you agree not to:
The Content of this Website, such as text, graphics, images, and other material contained on the Website are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website. This Website does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.
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MHN respects intellectual property rights and takes claims of copyright infringement seriously. All users of this Website and any other websites controlled by MHN are required to comply with applicable copyright laws. This Website accommodates and does not interfere with copyright holders’ standard technical measures to protect intellectual property. We will take action upon infringing material, including removal of or disabling access to such material, if we have actual or constructive knowledge of infringement or if we receive notice from a copyright holder alerting us to copyright infringement.
If you believe materials accessible on or from this Website infringe your copyright, you may request removal of or denial of access to such materials by submitting written notification to our Copyright Agent designated below. MHN will respond promptly to any claim of infringement in accordance with the Online Copyright Infringement Liability Limitation Act of the Digital Millennium Copyright Act (17 U.S.C. § 512) (“DMCA”). Written notice (the “DMCA Notice”) to MHN must substantially include the following:
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Notices and counter-notices must be sent in writing to MHN’s DMCA agent as follows:
Gail Vijuk, Controller
180 N. Stetson Ave., Suite 600-1
Chicago, IL 60642
Please submit only legitimate claims for copyright infringement in your DMCA Notice. Knowingly submitting a false DMCA Notice may result in your being held liable for damages (including costs and attorneys’ fees) under Section 512(f) of the DMCA. If you are unsure whether material available on our Website infringes your copyright, you should contact an attorney before submitting a DMCA Notice.
If we remove or disable access to material in response to an effective DMCA Notice, we will make a good-faith attempt to contact the user who generated such material so that such user may file a counter-notification with us (a “Counter-Notice”) pursuant to Sections 512(g)(2) and (3) of the DMCA. If you are submitting a Counter-Notice, it must substantially include the following:
All Counter-Notices should be sent to our Copyright Agent. Please submit only legitimate Counter-Notices. Knowingly submitting a false Counter-Notice may result in your being held liable for damages (including costs and attorneys’ fees) under Section 512(f) of the DMCA.
Upon receipt of a Counter-Notice, we will promptly provide the sender of the DMCA Notice with a copy of your Counter-Notice. Then, we will replace the removed material or cease disabling access to it not less than 10, nor more than 14, business days following receipt of the Counter-Notice, unless our Copyright Agent first receives notice from the sender of the DMCA Notice that such person has filed an action seeking a court order to restrain the person engaged in the allegedly infringing activity from doing so on our Website.
We reserve the right to withdraw or amend this Website, and any service or material we provide on the Website, in our sole discretion without notice. We will not be liable if for any reason all or any part of the Website is unavailable at any time or for any period. From time to time, we may restrict access to some parts of the Website, or the entire Website, to users, including registered users.
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If you link to the Website, you must not:
The Website shall not be linked to a social media website or account without the express written permission of MHN. You agree to cooperate with us in stopping any unauthorized framing or linking immediately. We reserve the right to withdraw linking permission without notice.
MHN is based in the state of Illinois. We provide this Website for use only by persons located in the United States. Access to the Website may not be legal by certain persons or in certain countries. Do not access the Website from outside the United States.
NEITHER MHN NOR ITS OFFICERS, DIRECTORS, EMPLOYEES, AFFILIATES, AGENTS OR SUBCONTRACTORS SHALL BE HELD LIABLE FOR ANY IMPROPER OR INCORRECT USE OF ANY OF THE CONTENT AND ASSUME NO RESPONSIBILITY FOR ANYONE'S USE OF THE INFORMATION. USER IS SOLELY RESPONSIBLE FOR ANY AND ALL ACTIONS OR OMISSIONS TAKEN OR MADE BY USER IN RELIANCE ON OR IN CONNECTION WITH ACCESS TO THE WEBSITEOR THE CONTENT THEREIN.
MHN CANNOT AND DOES NOT GUARANTEE OR WARRANT THAT FILES AVAILABLE FOR DOWNLOADING FROM THE INTERNET OR THE WEBSITE WILL BE FREE OF VIRUSES OR OTHER DESTRUCTIVE CODE. YOU ARE RESPONSIBLE FOR IMPLEMENTING SUFFICIENT PROCEDURES AND CHECKPOINTS TO SATISFY YOUR PARTICULAR REQUIREMENTS FOR ANTI-VIRUS PROTECTION AND ACCURACY OF DATA INPUT AND OUTPUT, AND FOR MAINTAINING A MEANS EXTERNAL TO OUR SITE FOR ANY RECONSTRUCTION OF ANY LOST DATA.
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Your use of (including any access to) the Website and the Content and any other internet sites linked to the Website, including any resources contained on, or otherwise made available by them, is solely at your own risk.
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THE OPERATION OF THE WEBSITE MAY BE AFFECTED BY NUMEROUS FACTORS BEYOND MHN’S OR ITS CUSTOMERS OR VENDORS’ CONTROL. THE OPERATION OF THE WEBSITE, WHETHER BY MHN, ITS CUSTOMERS, OR ITS VENDORS, MAY NOT BE SECURE. SECURITY AND PRIVACY RISKS CANNOT BE ELIMINATED. PASSWORD PROTECTION AND ANY OTHER SECURITY MEASURES MAY NOT PREVENT UNAUTHORIZED ACCESS TO MATERIALS.
THE FOREGOING DOES NOT AFFECT ANY WARRANTIES WHICH CANNOT BE EXCLUDED OR LIMITED UNDER APPLICABLE LAW.
JUDGMENT UPON THE AWARD RENDERED BY THE ARBITRATOR MAY BE ENTERED IN ANY COURT HAVING JURISDICTION IN CHICAGO, ILLINOIS. YOU AGREE THAT ANY ARBITRATION UNDER THIS AGREEMENT WILL TAKE PLACE ON AN INDIVIDUAL BASIS; CLASS ARBITRATIONS AND CLASS ACTIONS ARE NOT PERMITTED AND YOU ARE AGREEING TO GIVE UP THE ABILITY TO PARTICIPATE IN A CLASS ACTION.
THE PARTIES, THEIR REPRESENTATIVES, OTHER PARTICIPANTS, AND THE ARBITRATOR SHALL HOLD THE EXISTENCE, CONTENT, AND RESULTS OF THE DISPUTE RESOLUTION PROCEEDINGS IN CONFIDENCE. THIS PROVISION SHALL SURVIVE THE TERMINATION OF THIS AGREEMENT.
WITH THE EXCEPTION OF ANY OF THE LANGUAGE ABOVE IN THIS DISPUTE RESOLUTION PROVISION RELATING TO THE WAIVER OF CLASS AND REPRESENTATIVE ACTIONS, IF A COURT DECIDES THAT ANY PART OF THIS DISPUTE RESOLUTION PROVISION IS INVALID OR UNENFORCEABLE, THE OTHER PARTS OF THIS DISPUTE RESOLUTION PROVISION SHALL STILL APPLY. IF A COURT DECIDES THAT ANY ASPECT OF THE LANGUAGE ABOVE IN THIS DISPUTE RESOLUTION PROVISION RELATING TO THE WAIVER OF CLASS AND REPRESENTATIVE ACTIONS IS INVALID OR UNENFORCEABLE, THEN THE ENTIRETY OF THIS DISPUTE RESOLUTION PROVISION SHALL BE NULL AND VOID. THE REMAINDER OF THE AGREEMENT WILL CONTINUE TO APPLY AND BE UNAFFECTED BY THIS SEVERABILITY PROVISION.
Effective Date: January 12, 2017
Revision date 1.6.2017
This policy applies to information that MHN and its affiliates may collect from you:
It does not apply to information collected by:
The Website is offered and available to users who are 18 years of age or older and reside in the United States of America or its territories. MHN does not knowingly collect information from users under the age of 18. Persons under the age of 18 should not access or use this Website in any manner. If a user under the age of 18 submits information through any part of the Website, and MHN becomes aware that the person submitting the information is a child, we will attempt to delete this information as soon as possible.
1. We may collect several types of information from and about users of our Website when they interact on the Website, including:
Your access to and use of the Website may be monitored by MHN for purposes of operating the Website and testing, performance assessment and evaluation in connection with MHN initiatives.
2. MHN may use and disclose this personal information as follows:
3. MHN will maintain reasonable and appropriate safeguards to prevent unauthorized use or disclosure of a user’s personal information.
We take your privacy seriously. If you have questions, concerns, or feedback regarding the privacy of your personal information, you may contact the MHN Privacy Officer at:
180 N. Stetson Ave., Suite 600-1
Chicago, IL 60601
Effective Date: January 12, 2017
Revision date 1.12.2017