California-based Zing Health latest to join SDoH market of payers.
Since 2018, there has been common language introduced by insurers that includes the verbiage “so-and-so is uniquely positioned to address the SDoH (social determinants of health),” all followed by, “with new programming” promising to:
California-based Health 2047’s new Medicare Advantage (MA) offering, Zing Health, has now joined the club, bringing their own set of promises to the ever-growing SDoH mega-market.
The Latest MA Player
Zing Health’s efforts present as well-intended: using technology-driven platforms and local field teams, Zing anticipates having intimate knowledge of their clients’ needs. Employing in the trenches interprofessional teams is expected to promote solid clinical partnerships and connections that will ensure that plan members receive proper treatment and necessary ongoing care.
Zing expects to leverage technology toward the effective exchange of communication among the involved stakeholders. This will be especially interesting to monitor, considering that recent industry intelligence has conveyed that only 4 out of 10 hospitals are able to successfully share data with other healthcare systems, counter to the intent of electronic health records and manifesting interoperability. Evidence continues to suggest that providers, practitioners, and patients have ongoing struggles with access to portals, whether due to wifi and/or device access, platform incompatibilities, or other reasons.
Despite industry scrutiny over Medicare Advantage’s return on investment, its product numbers continue to rise. A recent report produced through RBC Capital Markets identified that the five largest managed care organizations (UnitedHealthcare, Humana, Aetna, Anthem, and Cigna) all continued to grow their MA membership in August 2019. The program has more than doubled its users since 2012, with almost 20 million Americans now enrolled.
The Mega MA Market
A Milliman Brief was posted on the Healthcare Financial Management Association (HFMA) website during the summer, reviewing the brisk activity of MA plans targeting the SDoH during 2019. The brief, titled, Review of Contract Year 2019, Medicare Advantage supplemental health care benefit offerings, includes an extensive list of health plans across the U.S. that incorporated “supplemental benefits” (in other words, the SDoH), noting that they are expected to enhance health outcomes for the following:
The Centers for Medicare & Medicaid Services (CMS) allowed Medicare Advantage plans to offer these supplemental benefits with certain conditions and received both praise and criticism for doing so. Roughly 270 out of 3,700 plans provided enrollees with the new benefits in 2019. As we approach 2020, the list of benefits and needs for beneficiaries continues to grow, including:
Each week brings new plans, coverage recommendations, and legislative actions to prompt reimbursement and payment associated with services focusing on the SDoH. Follow this continuing story weekly on Monitor Mondays and on RACmonitor.com.
Programming Note:
Listen to Ellen Fink-Samnick’s live reports on SDoH every Monday during Monitor Mondays, 10-10:30 a.m. EST.
In a sweeping policy shift, the Centers for Medicare & Medicaid Services (CMS) has proposed significant rollbacks to Social Determinants of Health (SDoH) and equity-related
On American Diabetes Association Alert Day, observed annually on the fourth Tuesday in March, we are reminded of the critical role that early detection and
Please log in to your account to comment on this article.
Struggling with ICD-10-CM coding for diabetes and complications? This expert-led webcast clarifies complex combination codes, documentation gaps, and sequencing rules to reduce denials and ensure compliance. Dr. Angela Comfort will provide actionable strategies to accurately link diabetes to complications, improve provider documentation, and optimize reimbursement—helping coders, CDI specialists, and HIM leaders minimize audit risks and strengthen revenue integrity. Don’t miss this chance to master diabetes coding with real-world case studies, key takeaways, and live Q&A!
Uncover critical guidance. Kay Piper provides an interactive review on coding guidelines and more in the AHA’s fourth quarter 2025 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Uncover critical guidance. Kay Piper provides an interactive review on coding guidelines and more in the AHA’s third quarter 2025 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Uncover critical guidance. Kay Piper provides an interactive review on coding guidelines and more in the AHA’s second quarter 2025 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Struggling with CMS’s 3-Day Payment Window? Join compliance expert Michael G. Calahan, PA, MBA, CCO, to master billing restrictions for pre-admission and inter-facility services. Learn how to avoid audit risks, optimize revenue cycle workflows, and ensure compliance across departments. Critical for C-suite leaders, providers, coders, revenue cycle teams, and compliance teams—this webcast delivers actionable strategies to protect reimbursements and meet federal regulations.
Providers face increasing Medicare audits when using skin substitute grafts, leaving many unprepared for claim denials and financial liabilities. Join veteran healthcare attorney Andrew B. Wachler, Esq., in this essential webcast and master the Medicare audit process, learn best practices for compliant billing and documentation, and mitigate fraud and abuse risks. With actionable insights and a live Q&A session, you’ll gain the tools to defend your practice and ensure compliance in this rapidly evolving landscape.
Dr. Ronald Hirsch dives into the basics of Medicare for clinicians to be successful as utilization review professionals. He’ll break down what Medicare does and doesn’t pay for, what services it provides and how hospitals get paid for providing those services – including both inpatient and outpatient. Learn how claims are prepared and how much patients must pay for their care. By attending our webcast, you will gain a new understanding of these issues and be better equipped to talk to patients, to their medical staff, and to their administrative team.
Hospitals face growing challenges in measuring observation metrics due to inconsistencies in classification, payer policies, and benchmarking practices. Join Tiffany Ferguson, LMSW, CMAC, ACM, and Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV as they provide critical insights into refining observation metrics. This webcast will address key issues affecting observation data integrity and offer strategies for improving consistency in reporting. You will learn how to define meaningful metrics, clarify commonly misinterpreted terms, and apply best practices for benchmarking, and gain actionable strategies to enhance observation data reliability, mitigate financial risk, and drive better decision-making.
Copyright © 2025 ICD10monitor. Powered by MedLearn Media.
Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
