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From Fragmented Data to Full Clarity: Close Care Gaps With Confidence

Life sciences teams are evolving how they engage with payers and providers, moving beyond volume metrics to strategies grounded in real-world insight.

But meaningful engagement takes more than data. It requires full visibility into the clinical, economic, and social drivers that shape patient access and outcomes.

The challenge? Most data is fragmented. Insights are disconnected. Social drivers of health (SDOH) are often missing entirely.

Inovalon’s SDOH Market Insights™ combines 50+ social health factors with clinical and utilization data, so you can see what others miss, compare populations, and act fast to close critical care gaps.

Top Benefits for Life Sciences Teams

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Get a clearer view of patient groups in key therapeutic areas

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Pinpoint regions with unmet needs and rising disparities

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Shape brand strategies around real-world treatment barriers

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Fuel deeper scientific and peer-to-peer conversations

Data in Action:
Closing Treatment Gaps in Migraine Care

A health plan faced rising costs from unmanaged migraines but lacked insight into the underlying drivers.

Using SDOH Market Insights, a field medical team delivered detailed data on migraine prevalence and healthcare resource utilization (HCRU) across the affected population, enabling the health plan to implement targeted interventions.

With SDOH Market Insights, they uncovered:

  • 12% of employees (mostly female) had migraines with HCRU rates 3x higher
  • Higher migraine rates and HCRU amount lower-income employees indicated a need for targeted support
  • Undiagnosed headache cases showed even higher HCRU, especially in areas lacking neurologist access, presenting and opportunity for earlier intervention and expanded access to care.

Impact:

  • Presented compelling data at a conference, motivating employers to customize migraine coverage by removing access barriers
  • Reduced restrictions like strep therapy, providing first-line access to advanced treatments
  • Lowered HCRU costs and improved worker productivity through better migraine management

Values & Outcomes

Simple icon of a document with lines of text, a folded corner at the top left, a bookmark at the top right, and a checkmark at the bottom right—representing efforts to close care gaps.

Fewer utilization
management restrictions

A simple white bar graph with a downward trending line, illustrating a decrease or decline in close care gaps, on a light gray background.

Lower HCRU

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Better patient outcomes
and quality of life

Turning Data Into Direction

With SDOH Market Insights, you’ll see what drives disparities and access challenges across multiple layers of patient risk and care patterns.

  • Patient Characteristics: Demographics, geography, race/ethnicity, income, education
  • Clinical Characteristics: Chronic conditions, Charlson Comorbidity Index (CCI)
  • Healthcare Utilization: ER, inpatient, outpatient, and specialty visits
  • Quality Measures: HEDIS® and PQA-aligned performance metrics
  • Comparison Tabs: Analyze cohorts, uncover disparities, and tailor interventions

Who You’ll Engage

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Payers and Health Plans:

Identify utilization patterns, equity gaps, and support value-based contracting

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Health Systems and IDNs:

Localize interventions and reduce total cost of care

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Pharmacy Benefit Managers (PBMs):

Guide benefit design based on adherence drivers and risk indicators

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Specialty Pharmacies & Clinical Pharmacists:

Segment patients to boost adherence, education, and persistence

Real-World Impact Across Conditions

Whether it’s identifying high-risk populations or boosting care delivery, SDOH Market Insights enables teams to act faster and smarter across multiple conditions.

A table showing changes and outcomes in health areas: Shingles (higher vaccination rates), Depression/Bipolar (expanded access, improved care to close care gaps), and COPD (reduced burden/cost), with stakeholders and actions for each.

Smarter Strategy Starts With Focused Insight

With national-to-local views and built-in SDOH overlays, SDOH Market Insights helps you:

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Drive evidence-backed conversations with health plans and providers

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Tailor your strategy based on patient risk and geography

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Equip field teams with clear, comparison-ready visuals

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Spot and fix breakdowns in the care journey

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Improve access, advance equity, and reduce cost

Insights You Can Act On.
Results You Can Prove.

SDOH Market Insights helps you build smarter, faster, more equitable access strategies at scale.

Ready to see the solution in action?

Book a Demo Today

Inovalon and design®, Inovalon®, and the Inovalon ONE® Platform are trademarks of Inovalon, Inc.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).