NYS 1115 Waiver - SDOH - HRSN

In the healthcare industry, the past few years have substantially changed the topic of conversation. It has expanded beyond clinical treatments and into the broader factors that influence health outcomes. Two key concepts at the forefront of this discussion are Social Determinants of Health (SDoH) and, thanks to the NYS 1115 Waiver Amendment, Health-Related Social Needs (HRSN). While they share commonalities, they also have distinct characteristics that play crucial roles in enhancing health equity. Let’s delve into each concept, their differences, and how they intersect to promote equitable healthcare.

Understanding Social Determinants of Health (SDoH):

Social Determinants of Health encompass the social, economic, and environmental conditions in which individuals live, work, and play. These factors include:

Economic Stability: Access to employment, income, and resources to meet basic needs like food, housing, and transportation.
Education: Educational attainment and literacy influence health behaviors and access to healthcare services.
Social and Community Context: Social support systems, community engagement, and discrimination impact health outcomes.
Healthcare System: Access to healthcare services, quality of care, and health insurance coverage.
Neighborhood and Physical Environment: Housing quality, availability of healthy foods, environmental pollution, and neighborhood safety.

SDoH highlight the systemic issues that contribute to health disparities and underscore the importance of addressing root causes rather than solely focusing on medical interventions.

Understanding Health-Related Social Needs (HRSN):

Health-Related Social Needs encompass the specific social needs that directly impact an individual’s health and well-being. These needs can include:

Food Insecurity: Lack of consistent access to nutritious food.
Housing Instability: Unstable or inadequate housing conditions.
Transportation Barriers: Difficulty accessing transportation to medical appointments or pharmacies.
Social Isolation: Lack of social connections and support networks.
Financial Strain: Economic challenges impacting healthcare affordability and adherence to treatment plans.

HRSN emphasize the tangible challenges individuals face in maintaining good health and highlight the importance of integrating social services into healthcare delivery to address these needs effectively.

Bridging the Gap and Enhancing Health Equity:

While SDoH and HRSN focus on different aspects of health, they are inherently interconnected. Addressing HRSN effectively requires an understanding of the broader systemic issues outlined by SDoH. Likewise, efforts to mitigate SDoH must address the specific social needs that directly impact individuals’ health outcomes.

By integrating SDoH and HRSN considerations into Medicaid policy and delivery systems, the NYS 1115 Waiver aims to enhance health equity by addressing the underlying social and economic factors that contribute to health disparities.

At Aigilx Health, we specialize in navigating Social Determinants of Health (SDoH) data and maximizing healthcare interoperability. Our cutting-edge expertise has led us to create the Social Care Network (SCN) Platform, a comprehensive solution designed to tackle Health-Related Social Needs (HRSN). Choose Aigilx Health for a transformative journey toward a seamlessly connected and equitable healthcare landscape. With your data and our expertise, we pave the way for improved interoperability, ultimately leading to better health outcomes for all.

Aigilx health specializes in developing Interoperability solutions to create a healthcare ecosystem and aids in the delivery of efficient, patient-centric and population-focused healthcare.


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Email: contact@aigilxhealth.com