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Welcome to the Empowered Patient Podcast with Karen Jagoda.  This show is a window into the latest innovations in applying generative AI, novel therapeutics and vaccines, and the changing dynamics in the medical and healthcare environment. One focus is on how providers, pharmaceutical companies, and payers are empowering patients.  In addition, conversations are often about how providers, care facilities, pharmaceutical companies, and payers are being empowered by technology to improve patient outcomes and reduce friction across the healthcare landscape.

Popular Topics

  • Virtual and digital health
  • Use of AI, ML, and LLM in healthcare and drug discovery, development, trials
  • Value-based healthcare 
  • Precision and stratified medicine
  • Integration of digital technology into existing workflow and procedures 
  • Next-generation immuno, cell, and gene therapies
  • Vaccines
  • Biomarkers, sequencing, and imaging
  • Rare diseases
  • MedTech and medical devices
  • Clinical trials
  • Addressing Social Determinants of Health
  • Treating chronic conditions like obesity and pain
  • Clinician and staff burnout

The audience includes life science leaders, researchers, medical professionals, patient advocates, digital health entrepreneurs, patients, caregivers, healthcare solution providers, students, journalists, and investors. 

 

Check out our new EmpoweredPatient.Solutions site where you can quickly search all of the Empowered Patient Podcast interviews by any word or phrase to identify useful resources, potential partners, and insights about the life sciences landscape.

Empowered Patient Solutions

Jul 17, 2023

Ashley Perry, Chief Strategy and Solutions Officer at Socially Determined, highlights the problems created by the Medicaid redetermination process.  Building on their SocialScape social risk intelligence platform, Socially Determined is providing a new risk score that will help state Medicaid agencies and Managed Care Organizations identify and prioritize members needing help navigating the redetermination.

Ashley explains, "As many of your listeners will know, on April 1st of this year, we started redetermining eligibility for the 95 million Medicaid beneficiaries nationwide. And that's a year-long process during which we expect that up to 15 million of them may be disenrolled from the program. So far, we've seen that as of June 16th, we've had about 1.3 million Medicaid beneficiaries nationwide disenrolled across the 22 states that have reported data to date."

"What's notable about that, though, is on average across those 22 states, 74% of those who've been disenrolled have been disenrolled for procedural reasons. This means one of two things: either number one, they did not return the paperwork period, or number two they did, but they did not include some of the required documentation. So overall, a very high percentage of those who've been disenrolled to date are not necessarily no longer eligible for the program but have not been able to navigate that recertification process on their own."

"We've done that for the entire United States community level across a number of different domains, so things like the food landscape and the housing environment. We've also done it for hundreds of millions of Americans at the individual level for similar domains. And so all of that data and insights around the SDOH and social risk factors that influence healthcare utilization costs, outcomes and equity was built into our social state platform. We've been working with organizations to use that data to inform their strategies for years."

@SocDetermined #SDOH #SocialDeterminantsofHealth #Redetermination #Medicaid #MCO #HealthEquity #SocialRisk #DataAnalytics

SociallyDetermined.com

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