Can Social Determinants Of Health Replace Traditional Utilization Management?: An Aetna Case Study
This presentation was delivered on August 13, 2019 at The OPEN MINDS 2019 Management Best Practices Institute. In the presentation, the speakers discussed how Aetna is approaching the challenge by exploring a program that leverages social determinants of health (SDoH) to produce better member outcomes, enabling them to forgo traditional utilization management activities. The session includes a discussion of their program model, the challenges and benefits of the program, how they are working with provider organization partners to make the program a success, and their plans for continuing to address SDoH in the future. The presentation speakers included: Deb Adler . . .