April 28, 2021
In the past, doctors typically spoke about health as a mixture of genetics and lifestyle choices. Health behaviors like good diet, exercise, safe sex, not smoking, and moderate alcohol use are all important in reducing risk for chronic disease.
But why do some people have a harder time following these recommendations? It’s not always a matter of willpower. There may be some factors that aren’t up to individuals, such as being able to get fresh food, having access to safe places to exercise, having the help they need to reduce stress, or being able to isolate during this pandemic.
For decades, public health officials have talked about how the conditions in which people are born, live, learn, work, play, and age affect how easy or hard it is to stay healthy. They call these Social Determinants of Health, and they may include policies, social norms, environmental, economic, technological, and other conditions. These factors can determine whether people have:
• Enough money
• Clean water and air
• Healthy food available
• A safe place to live and work
• Social support and connection
• Access to high-quality health care
• Freedom from discrimination
Because of historical patterns of discrimination and privilege, where people live can determine a lot of these — your ZIP code has a lot to do with your health.
When the factors listed aren’t available, it is more likely that people’s health will suffer. We’ve always recognized that people who “lived a hard life” were often sicker and died younger. Only in recent years have doctors, hospitals, and health insurance companies paid more attention to how social determinants impact health outcomes and how they could help address social needs.
One way to improve this issue is to address people’s social needs. That’s what Independence Blue Cross' collaboration with Signify Health is all about. When members have needs around safe housing, healthy food, and legal services, they’re connected to the right people for help.
Independence Blue Cross and Signify Health are pioneering a model that integrates in-home health visits, case management, and a community-based network of services to address social needs, called CommunityLink. Right now, the CommunityLink network consists of the following organizations:
• 365 Health Services, LLC
• Greater Philadelphia YMCA
• Legal Clinic for the Disabled
• Liberty Housing Development Corporation
• Liberty Resources
• Liberty Resources Home Choices, LLC
• Liberty Wheels, LLC
• Malvern Community Health Services, Inc.
• Metropolitan Area Neighborhood Nutrition Alliance (MANNA)
• Penn Asian Senior Services (PASSi)
• Project Home-Helen Brown Community Center
• Project Home-Honickman Learning Center and Comcast Technology Labs
• Project Home-Stephen Klein Wellness Center
• Sisters Returning Home
• The Food Trust
• Well Spouse Association
The network will grow to include more organizations over time.
The CommunityLink network brings together Independence registered nurse Health Coaches, Signify Health social care coordinators, and local community-based organizations. These groups help coordinate non-medical services for Independence Medicare Advantage members — and even other members of our community. Clinicians and other health care providers will also be able to use CommunityLink to refer patients in the future.
Good health doesn’t just happen in the doctor’s office — it starts in the community. We hope by helping to remove barriers to accessing healthy food, housing, transportation, and financial support for our members, we can make it easier for them to focus on their health goals.
This article was originally published on IBX Insights.
I joined Independence Blue Cross in 2015 after practicing Geriatrics for nearly 30 years. In my current role I function as the medical liaison to our Government markets team, serving as a subject matter expert on clinical medicine and healthcare delivery. What I love about my new position is the opportunity to help an entire population of people through the benefits of their health plan.