Socioeconomic Health Scores

Insights derived from social determinants of health that lead to more holistic care management.

Socioeconomic Health Scores provide insights that help improve care management and patient engagement outcomes.

socioeconomic health scoresAccording to the World Health Organization, Social Determinants of Health (SDOH) are conditions in which people are born, grow, live, work and age that impact their health. Socioeconomic data is information that provides insight into those conditions so healthcare organizations can better understand how the combination influences health. You will often hear terms like SDOH, socioeconomic data, and sociodemographic data used interchangeably in the market. 

Socioeconomic Health Scores help organizations across the healthcare spectrum understand patient health and care needs more holistically.

Our suite of Socioeconomic Health Scores aim at helping health plans, providers, and pharmacies understand health risk more holistically with the goal of improving care management and patient engagement outcomes. Our data scientists analyze environmental, economic and community attributes to identify which factors, when addressed, will lead to patients receiving better and more effective care.

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Socioeconomic Health ScoresReadmission Risk Score

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Proactively engage individuals before a medical condition develops or worsens.

Target care management efforts with greater understanding of Social Determinants of Health like social isolation, transportation, education, financial health and address stability.

Prepare to deliver the appropriate care interventions even when little to no traditional data is available.

LexisNexis Socioeconomic Health Scores can be used independent of other clinical analytics or models. Or they can be used in conjunction with existing care management, discharge and planning platforms. Today, LexisNexis offers four scores:

Total Cost Risk Score

How is the Total Cost Risk Score Used by Health Plans?

Using these insights, organizations can predict a member or patient’s potential health risk over the next 12 months based on cost. Total Cost Risk Score empowers healthcare organizations to implement a more proactive approach in their risk stratification, care management and member/patient engagement initiatives.

Readmission Risk Score

How is the Readmission Risk Score Used by Providers?

The Readmission Risk Score predicts a patient’s potential risk of readmission within 30 days after discharge of an inpatient hospital stay using clinically-validated socioeconomic data. The Readmission Risk Score can assist healthcare organizations in assessing and stratifying risk in their patient populations and proactively engaging and supporting those individuals to prevent readmissions and improve health outcomes.

Medication Adherence Score

How is the Medication Adherence Score Used across the Healthcare Spectrum?

The Medication Adherence Score predicts the expected compliance for an individual to be adherent to their medication protocol.  With the evolution of value-based care initiatives, pharmacy, payer and provider organizations can increase medication adherence and achieve positive health outcomes through the analysis of social determinants of health data.

Motivation Score

How motivated is an individual to engage in their own care?

Predicts an individual’s motivation to care for their own health over the next 12 months, based on predicted willingness to proactively address health needs and follow care recommendations.

Socioeconomic Health Scores are critical pieces to an effective predictive modeling, patient engagement and care management strategy.

These health scores have been shown to improve predictive accuracy over traditional demographic models. The attributes that are used in our predictive scores are clinically validated against health outcomes. These scores can then be used to effectively engage members and patients by providing more personalized programs and consultations.

Key Features Include:

  • Clinically validated social determinants of health data utilized in all scores
  • Scores can be leveraged in conjunction with our absent of claims data
  • Scores are system agnostic allowing for use with existing software platforms

Building a Social Determinants of Health Model Business Case

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Guiding Principles for Ethical Use of SDOH Data During COVID-19

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LexisNexis Assists Hospitals in Predicting Readmissions with Non-clinical Data


Data for Good: The Case for Operationalizing Social Determinants of Health into Clinical Models


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LexisNexis® Socioeconomic Health Score does not constitute a “consumer report” as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq.(FCRA). Accordingly, LexisNexis® Socioeconomic Health Score not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA. Due to the nature of the origin of public record information, the public records and commercially available data sources used in reports may contain errors. Source data is sometimes reported or entered inaccurately, processed poorly or incorrectly, and is generally not free from defect. This product or service aggregates and reports data, as provided by the public records and commercially available data sources, and is not the source of the data, nor is it a comprehensive compilation of the data. Before relying on any data, it should be independently verified.