Identifying & Addressing Socioeconomic Barriers to Care throughout the Member Lifecycle

Thursday, December 8, 2016 - 1:00pm

How can effective care be delivered when we ignore life factors impacting members? It is critical for healthcare organizations to direct efforts and resources towards addressing issues of social inequities, diagnose problems and remove barriers that negatively impact the health status and quality of life of their members.

In this on-demand webinar, HMS Eliza and client Gateway Health will review insight from Medicaid, Dual-eligible, and Marketplace populations and will discuss strategies to help assess and address social determinants of health in order to promote the health and wellness of health plan members. We'll focus on the following elements necessary to address social determinants of health:

  • Communicate: Augment traditional data gathering techniques such as the use of live agents or in-person interviews with automated, multi-channel, digital technologies such as telephonic IVR and email
  • Collect: Deploy standardized and validated survey tools such as a vulnerability assessment that can help identify issues without having to ask members in-person
  • Compare: Establish benchmarks for your member population and compare results using a common ruler
  • Connect: Once barriers to care are identified, connect members to plan and community services, such as health coaching, care management, housing assistance, or transportation services to support health outcomes.

In addition, you'll learn how HMS Eliza helps their clients have an open dialogue with their members through more direct conversations with the intention of better understanding individual needs and barriers to care — ultimately connecting members to valuable plan and community resources. 


Betsy Mazzoni
Manager of Quality Improvement
Gateway Health 

Betsy is responsible for inspiring a team of innovators who design strategies aimed at improving HEDIS scores, health outcomes, and member engagement. A relative newcomer to the managed care industry, she brings over 10 years of experience in healthcare and human services. Betsy joined Gateway Health from Bethany Hospice, where she held an executive role focused on operational excellence. Prior to working in healthcare, she held a variety of public policy roles in local and state government and in the nonprofit sector serving children residing in substitute care and adults with serious and persistent mental illness. Betsy holds a Master of Public Administration and a Master of Social Work from the University at Albany in Albany, New York and a Bachelor of Arts in Psychology from Bard College in Annandale-on-Hudson, New York.


Aimee Delorey, Ph.D
Senior Director, Data Science, and Analytics
HMS Eliza

Aimee has spent nearly 20 years in analytics, consulting and business development roles serving health plans, biotechnology, and pharmaceutical companies. Her areas of expertise and interest include health outcomes, psycho-social influences on health and risk assessment. At HMS Eliza, Aimee manages a team of data scientists and leads analytic efforts in several areas, including Social Determinants of Health. Aimee graduated from Goucher College with degrees in English and Sociology and earned her Ph.D. in Social Science from Boston College.


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