This calculator is designed to help community-based organizations and their health system partners plan sustainable financial arrangements to fund the delivery of social services to high-need, high-cost (HNHC) patients. HNHC patients, who account for a large share of overall health care spending, often have social needs, clinically complex conditions, cognitive or physical limitations, and/or behavioral health problems. Research shows that complex patients are likely to benefit from a holistic model of care that addresses the social determinants of health (SDOH) such as transportation, housing, and nutrition, in addition to medical needs.
Who is the tool intended for?
Health systems, payers, medical providers, social service providers, and community-based organizations seeking to address SDOH.
How can this tool help me?
The calculator can help you explore, structure and plan sustainable financial arrangements to support the delivery of social services to HNHC patients.
ROI Calculator Help Documents & Guides
SDOH Table: Describes the non-medical services this tool supports. There is also an option to plan a particular service not listed in the table by selecting “other” in the calculator.
Data Checklist: An overview of the inputs you and your partner organization will need to use this tool.
Average Cost & Utilization Tables: A table of national average health care utilization rates and costs of services for patients with complex needs and all adults living in the community. If you do not have baseline rates and costs to enter, use this table to find values to input into the calculator.
Evidence Review: A collection of relevant evidence on the impact of health-related social needs interventions from peer-reviewed and gray literature. Use this review to find estimates that you can enter in the calculator to generate ROI scenarios or a break-even analysis in case you do not have program data easily available.
Step-by-Step Guide: This hypothetical case example demonstrates how you can use the Average Cost & Utilization Tables and the Evidence Review to derive relevant inputs and impacts needed by the calculator.
Calculation Guide: Provides explanations of formulas the tool uses to calculate its results.
Use Cases: Learn how community-based and health care organizations have used the ROI Calculator to determine the value of health-related social services and develop contractual partnerships to pay for them.
- — Learning Report: Using the ROI Calculator to Measure Return on Investment in Addressing Health-Related Social Needs
- — Case Study of Homage Senior Services: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members
- — Case Study of Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health
This tool was built on original work by Dr. Victor Tabbush and The SCAN Foundation.
This application is best viewed on a desktop computer, preferably using a Windows operating system and the latest Chrome/Firefox browsers.
https://doi.org/10.26099/8515-mp30