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.
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Gail Vijuk, Controller
180 N. Stetson Ave., Suite 600-1
Chicago, IL 60642
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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
In alignment with our mission, Medical Home Network strives to create a work environment that supports equality, diversity of thought, and makes all people feel welcome. As an organization, our core values of equity, equality, diversity and inclusion guide the work we do, the relationships we build, and the way we recruit, develop and retain our people. We recognize this process is a journey, and we stand firm in our commitment to learn and change, champion diversity, and hold ourselves accountable.
Medical Home Network also invests in meaningful programming such as internships and fellowships that help young adults from under-resourced communities gain work experience in order to land quality jobs after college. In addition, MHN provides targeted financial support to community-based organizations that empower, educate and provide opportunities for low-income individuals and families and help them build stable futures.