Health Plans

Health Plans​

Social determinants of health (SDOH) are the non-medical factors of healthcare that account for up to 80 percent of health outcomes.
Factors such as access to education, language skills or food insecurity could have a detrimental effect on a patient’s ability to follow treatment plans and ultimately lead to increased global cost of care. Our solutions will help you address these non-medical factors and support your members in unique and necessary ways.

  • OTC benefits are offered by 3,800 Medicare Advantage (MA) plans for 2021
  • 2020 to 2021 saw a 243% increase in MA plans offering food/grocery benefit (101-347)
  • Those 347 MA plans have 1.905 million members CURRENTLY enrolled
  • At a benefit of $30-$50, monthly spend of $57-95 million
  • This translates to an annual spend of $684 million to $1.143 billion
  • The total market opportunity, if consistent with OTC penetration, would be between $7.5 billion - $12.5 billion
  • These $ values are for MA ONLY. There are also benefits under Medicaid which are less transparent, but will probably add several billion more.