Your communities’ social needs are hiding in plain sight.
See how population health teams use SDOH Solutions to surface unmet needs at the ZIP-code level, close referral loops, and prove impact on the metrics that matter.
-
Community needs mapped at FIPS-code level
See which ZIP codes carry the highest social burden and where intervention gaps exist right now.
-
Closed-loop referral tracking from screen to resolution
Follow every member from SDOH screening through CBO referral to confirmed intervention, with 30-day intervention visibility for HEDIS SNS-E.
-
Care coordinator workflows that replace spreadsheets
Watch how coordinators screen, assign, and follow up inside one system instead of juggling disconnected tools.
-
Outcomes analytics built for value-based care reporting
Pull the data your quality and VBC teams need without building custom exports from scratch.
See it for your organization
No commitment. A team member will reach out within 1 business day.
From invisible barriers to measurable outcomes
Your members’ social needs are already influencing their utilization. SDOH Solutions makes those patterns visible and actionable.
Know exactly where social need is concentrated
FIPS-code-level mapping gives you a real picture of which communities have food access gaps, housing instability, or transportation barriers. Not averages. Actual neighborhoods.
Target outreach where it has the most impactTrack referrals from screening to intervention, closed
Stop losing members in the gap between a positive screen and confirmed help. SDOH Solutions tracks every referral through the full loop, with timestamped 30-day intervention data for quality reporting.
HEDIS SNS-E ready, documentation built inGive care coordinators a single place to work
CRM-lite member management means coordinators screen, assign, document, and follow up inside one system. No more reconciling spreadsheets at month end or chasing status in email threads.
Replace disconnected tools with coordinated workflowsPull the analytics your quality and VBC teams need
Outcomes reporting that speaks the language of value-based care: intervention rates, referral completion, population-level trend data, and community health integration documentation for upstream driver claims.
Report on what you actually did, not just what you screenedYour demo in three steps
We’ll tailor the walkthrough to your team’s specific use case.
You request the demo
Fill out the form. A team member reviews your organization type and prepares a relevant walkthrough.
We align on your priorities
A 5-minute pre-call or email exchange to understand your current workflow and the outcomes you need to move on.
You see your environment
A live 30-minute session showing features relevant to your use case: mapping, referral tracking, coordinator tools, or reporting, depending on where the pain is.
Ready to see your communities’ needs on a map?
The demo is free. The conversation is 30 minutes. No commitment required.
Request My Free Demo