Social Determinants
of Health

Identify and address the SDOH factors driving cost & utilization at the community and individual level

80% of any health outcome is determined by Social Determinants of Health (SDOH), including factors such as access to nutritious food, transportation, income levels, air pollution and social support. Effective and equitable population health and cost management depend on the ability of providers, payers and other healthcare stakeholders to understand how these non-clinical factors influence the health trajectories of the patients they care for.

Jvion’s SDOH suite offers a multi-tiered approach to understanding and addressing the SDOH factors driving high costs and utilization. Our suite offers insights at both the community and patient level, and can surface SDOH risk alone or combined with clinical risk. The results can be accessed via the Jvion Web Portal or integrated and visualized with existing customer platforms.

Our three modules include:

CORE™ + Publicly Available Data

Identify vulnerable communities—down to the Census block group level—and the most influential SDOH factors driving high healthcare costs and avoidable utilization.

CORE + Patient Registry Data

Using only basic patient registry data, the CORE can rank individuals by their vulnerability and highlight the five most influential SDOH risk factors that can be modified for each individual.

CORE + Clinical Data

See the modifiable clinical and SDOH factors that drive risk for each patient, as well as prioritized, evidence-based guidance to drive better health, cost savings and care efficacy.

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Featured Product

Social Vulnerability Insights

Social vulnerability refers to the potential negative effects on the health of communities caused by external, non-clinical stressors. Socially vulnerable populations are especially at risk due to factors such as socioeconomic status, household composition, minority status, housing type and transportation access. Reducing social vulnerability can decrease both human suffering and unnecessary healthcare costs.

With Jvion’s Social Vulnerability Insights, you can:

  • Understand the socioeconomic, behavioral and clinical factors driving vulnerabilities and risk in the communities you serve.
  • Enable staff to more effectively engage each person they work with to address their individual needs, and drive collaboration with social workers.
  • Improve the health and wellness of communities, strategically inform community outreach programs and reduce avoidable healthcare utilization.

Who We Help

Impact Story

Targeting Food Insecurity to
Lower the Costs of Care

Using its AI CORE, Jvion analyzed public data from Oklahoma Medicaid to pinpoint opportunities for investments that would address social vulnerability and, as a result, lower the costs of care. After analyzing the influence of several social determinants including income, education, transportation costs and food insecurity, Jvion ranked each county by their social vulnerability. The analysis found that 95.9% of the variation in per member per month costs was attributable to social vulnerability.

More importantly, the analysis revealed that, through partnerships with food banks in counties where food security had a high impact on social vulnerability, Oklahoma Medicaid could save $10M per year by reducing the average cost of healthcare for members. Put another way, Oklahoma could save $7.85 per Medicaid beneficiary per year by using Jvion’s SDOH insights to target food insecurity.


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  • Download the latest SmartFocus paper “The COVID Aftermath: Why behavioral health is the next crisis health plans should be prepared to manage” brought to you by Jvion and SmartBrief to understand why the current state of analytics leave members and health plans exposed to a behavioral health crisis.

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