Comprehensive Diabetes Management: Tools and Strategies for Better Health
Discover HealthFeed's personalized diabetes management tools, from meal planning to CGM integration, for better health.
Tackle Social Barriers with Precision and Compassion
HealthFeed enables payers and care teams to identify, address, and resolve non-clinical barriers that impact member health, from transportation challenges to food insecurity through personalized, multi-channel engagement.
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The Problem
The Challenge in SDOH Management
Closing care gaps isn’t just about clinical interventions. Members face everyday barriers that prevent them from accessing care and following treatment plans:
Hidden Barriers
SDOH data is scattered and often underutilized.
Limited Engagement
Members with high social needs are harder to reach through traditional channels.
Fragmented Workflows
SDOH insights rarely flow seamlessly into care management plans.
Delayed Intervention
Without timely action, small barriers can lead to costly health outcomes.
Impact Tracking
Measuring the effect of SDOH interventions on outcomes and cost remains difficult.
The Problem
The Challenge in SDOH Management
Closing care gaps isn’t just about clinical interventions. Members face everyday barriers that prevent them from accessing care and following treatment plans:
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Limited Engagement
Members with high social needs are harder to reach through traditional channels.
Fragmented Workflows
SDOH insights rarely flow seamlessly into care management plans.
Delayed Intervention
Without timely action, small barriers can lead to costly health outcomes.
Impact Tracking
Measuring the effect of SDOH interventions on outcomes and cost remains difficult.
The Solution
HealthFeed’s SDOH Management Capabilities
HealthFeed gives care teams a centralized, intelligent platform to track, manage, and engage members across their entire health journey.
SDOH Data Integration
Bring together social data from multiple sources for a complete member profile.
Connect SDOH screening tools, care management platforms, and community resources.
Map social risk factors directly to member care journeys.
Maintain real-time visibility into SDOH needs alongside clinical data.
70%
higher protocol adherence among hospitals with SDOH initiatives
90%
higher community resource use among hospitals with SDOH initiatives
Engagement-First Approach
50%
less no-shows in appointments when using AI-driven personalized outreach
30%
improved response rates after using multi channel engagement strategies
HealthFeed doesn’t just identify members with social needs—it engages them.
Uses AI-driven personalization to send targeted nudges via SMS, email, chat, IVR, and mail.
Adjusts messaging to member demographics, tech literacy, and preferred channel.
Applies a "right message, right channel, right time" model to boost response rates.
Barrier-to-Intervention Workflows
Translate SDOH needs into actionable care steps.
Automates task creation for care coordinators based on SDOH triggers.
Connects members to appropriate services—e.g., transportation assistance, food delivery, housing support.
Tracks completion and closes the loop with the member.
70%
improved task accuracy when Automation of care coordination tasks based on SDOH triggers is applied
85%
care gap closure rate in programs incorporating automated workflows for social needs interventions
Next-Best-Action Intelligence
25%
reduction in treatment costs by prioritizing interventions and escalation paths effective
40%
increase in timely interventions by intelligent routing and prioritization of patients based on SDOH data
Prioritize interventions for maximum impact.
Flags urgent needs such as unsafe housing or missed screenings due to transportation.
Recommends specific outreach sequences and escalation paths.
Integrates with ride-share, community programs, and benefits platforms for faster resolution.
Impact Measurement & Reporting
Show the ROI of addressing social needs.
Dashboards track intervention uptake, care gap closure, and cost savings.
Drill down by population, geography, and intervention type.
Export outcome data for compliance, grants, and quality programs.
85%
average ROI on food insecurity programs
50%
average ROI on housing insecurity programs
User Journey: Overcoming a Transportation Barrier
Maria’s Story
Key Benefits for Payers and Care Teams
Before you build more custom integrations or deploy disconnected point solutions, consider the HealthFeed advantage:
- Higher Care Gap Closure Rates
Addressing social needs enables members to access and adhere to care plans. - Stronger Member Relationships
Culturally sensitive, channel-appropriate communication builds trust. - Reduced Avoidable Costs
Early SDOH interventions prevent ED visits and hospitalizations. - Workflow Efficiency
Automation and integrations reduce manual work for care teams. - Proven ROI
Track the financial and health impact of SDOH programs in real time.
Frequently Asked Questions
How does HealthFeed integrate with our existing systems?
HealthFeed offers pre-built connectors for major EMRs, EHRs, CRMs, utilization management, and care management platforms (e.g., Cerner, Epic, ZeOmega). We also offer custom integrations and APIs, tailor built for your specific requirements and workflows.
How do you ensure data security and regulatory compliance?
We’re fully HIPAA‑compliant and built for CMS interoperability readiness. Additionally we adhere to GDPR, CPRA , and TX- RAMP guidelines. All data is encrypted in transit and at rest, with role‑based access controls, audit logging, and SOC‑2–certified infrastructure—so you can trust member and patient information stays private and secure.
Can we customize engagement journeys to our brand and workflows?
Absolutely. HealthFeed’s white‑label member app and provider portal allow you to tailor UI/UX, messaging tone, and channel mix. Our AI‑driven personalization engine can be tuned with your clinical rules, reward programs, and specialty‑specific pathways so every outreach aligns with your brand and care protocols.
What ROI and outcomes can we expect—and how quickly?
Most clients see measurable improvements within a few weeks: higher care‑gap closures, point boosts in CAHPS/HOS, and reduced avoidable utilization. Our real‑time analytics dashboards let you track metrics like outreach open rates, appointment adherence, and cost savings—so you can prove value from day one.
What does implementation and ongoing support look like?
A typical rollout takes 6–8 weeks, including system integration, journey design workshops, and training. You’ll have a dedicated Customer Success Manager plus 24/7 support resources, regular strategy reviews, and access to our best‑practice playbooks to optimize engagement and continuously improve outcomes.
