SDoH/Supplemental Benefits Manager
The Social Determinants of Health (SDoH)/ Supplemental Benefits Manager tracks the eligibility and delivery of supplemental or social benefits that a plan may offer in addition to traditional medical coverage. This Medicare supplemental benefits manager includes workflows to support the eligibility and benefit verification, vendor selection, referral to the member, and tracking of notification to the member beyond the typical Part C or Part D Medicare benefits. They are generally described as social or environmental benefits. Supplemental Benefits medical data management is ideal for Medicare home and community-based services, Medicare or MAPD plans.
Benefit Workflows Offered
Personal Care Visits
Help with daily living activities such as bathing and light housekeeping
Pest Control
Services to provide in-home pest control
Healthy Nutrition/Meals
Prepared meals or supplemental nutrition are delivered to your home
Adult Daycare
Relieves a caregiver of his/her duties for the day to manage the care of a member with special needs
Service Animal
Support provided to help care for service dog
Other
such as Community Outreach & support, dietician visits, and electricity
Key Features
Customize Your Plan’s Specific Benefit Offerings
This medical data management system helps you assess report findings to determine the impact on outcomes, readmissions, ER visits, MLR, and more.
Get The One-Click Solution
Includes new universe reporting requirements built into the system and accessible with one click.
Discover The Perks
Efficient
With this medical data management system, you can streamline operational processes to manage more cases in less time
Excellence
Monitor all program activity including related built-in universe reports
Flexible
Scale as you add benefits and members, and expand to other LOBs
Coherent
Prioritize resources by skill set to free up clinical staff for member care
Accurate
Include program details to support successful Medicare and Medicaid bids
Effortless
Use this medical data management system to confirm benefits and apply clinical criteria in a consistent, reportable manner
