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SDoH/HRSN, CBO Integration and Utilization, and CBO IPAs

Leverage community-based organizations (CBO’s) as important stakeholders that provide services and resources to the most disadvantaged populations to address social determinants of health (SDoH) and Chronic disease management. CBO’s play a vital role of building trusting relationships to assist in improving the targeted populations health by coordination and collaboration between health systems, providers, and community resources.

Our Approach

Complete member centric SDoH Assessments to identify holistic, medical, behavioral health and psychosocial needs

Partnership between providers/IPA’s with CBO’s to assist members navigate the healthcare continuum for appropriate resources/solutions

Identify rising and high-risk avoidable admissions and readmissions

Emergency department avoidance and promotion of wellness programs to stay healthy

Best practice recommendations for Utilization Management (UM) program structure, program protocols, guidelines, workflows, staffing and mechanisms to manage UM activities

Staff training and educational materials


Carlene Zincke, RN

Executive Vice President

A.Miller Small Image

Allen Miller

Principal & CEO

Johanna Johnson