White Paper

The Missing Metric

8/4/25
Redefining ROI to help health plans drive outcomes, lower costs, and prove the value of social care initiatives.

As health plans face pressure to drive better outcomes at a lower cost – particularly for their most complex members – reducing social barriers to health is a necessary and critical area of focus. When health plans approach social care effectively, the benefits are straightforward: Greater access to care and more engaged members. That of course, translates to better outcomes and lower costs. Yet succeeding with social care initiatives is not easy, and health plan leaders are often left questioning whether such programs have a clear and measurable return on investment (ROI). Health plans understand that there is a value to social care, but there's a breakdown when it comes to defining and achieving that value.

Throughout this report, we share survey findings, including where health plans are succeeding when it comes to social care, as well as the untapped opportunities many health plans are missing when it comes to maximizing the ROI of their social care programs. We also share how health plan leaders can think more strategically about their social care programs to further move the needle on improved member outcomes and lower healthcare costs.

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