Scale care access. Improve member retention. Lower total cost of care.
Bridge the gap between medical benefits and community networks
To manage population risk, your care management teams need visibility into the social barriers driving clinical costs. We provide the digital infrastructure that connects your health plan to a nationwide, highly curated network of community-based organizations. Seamlessly integrate benefits enrollment and redetermination, fulfill social care referrals, and get high-impact analytics—all in one unified platform.
Enable the digital safety net for your members and see measurable impact.
$181 PMPM cost reduction for high-risk members
481% increase in closed-loop social care referrals
16% reduction in avoidable hospitalizations
Drive measurable ROI with a strategic CBO network
Before
Static Network Bottlenecks
Platforms that force community organizations into closed, contracted networks artificially limit care access and stifle adoption. Relying on these static, limited, or restricted resource directories creates an operational blind spot. They cannot scale, preventing you from proving cost avoidance, tracking member utilization, or protecting your MLR.
After
A Connected Ecosystem
Most platforms just list programs. We power the dynamic, customizable infrastructure that community organizations actually use. With over 960,000 verified locations, every interaction fuels our network effect. Programs update capacity, care coordinators close loops, and you gain real-time visibility into which CBOs are actively resolving member health-related social needs (HRSNs).
Trusted by 70% of the nation’s MCOs, reaching 91% of Medicaid members nationwide.
How to embed social care directly into your care management workflows
Your care coordinators shouldn’t have to toggle between systems. We seamlessly embed SDoH assessments, public benefits navigation, and program recommendations directly inside your existing care management platforms and member portals, saving programs thousands of admin hours annually.
1
Assess and navigate
Empower care coordinators to conduct health risk assessments (HRAs) and instantly generate pre-curated resources based on the member’s specific needs.
2
Optimize supplemental benefits
Maximize utilization and meet CMS requirements by offering early support—like transportation and meals—that reduces ED visits and hospital stays. Leverage Findhelp Fulfillment to easily order goods and services directly within the platform.
3
Streamline public benefits and redetermination
Provide an eligibility check in 60-90 seconds, automate document collection, and submit applications directly with an 85-90% success rate.
Seamlessly integrated with
and more
Purpose-built social care infrastructure for every population
Our infrastructure adapts seamlessly to your operational model and goals.
Medicaid MCOs
Goal: Win state procurements and fulfill waiver mandates.
Advantage: Automate closed-loop referrals, track community engagement requirements, and generate the exact data required to prove compliance with 1115 waivers and state-directed reporting initiatives.
Medicare Advantage (MA & D-SNP)
Goal: Boost CMS Star Ratings and member retention.
Advantage: Proactively connect older adults to food, transportation, and supplemental benefits to improve CAHPS scores and manage chronic conditions.
Commercial Health Plans
Goal: Differentiate in the market and manage MLR.
Advantage: Offer a premium, white-labeled social care and benefits navigation platform that attracts employer groups and keeps members healthy.
Self-Insured Large Employers
Goal: Reduce absenteeism and lower self-funded medical claims.
Advantage: Centralize employee assistance programs (EAPs) and proactively connect your workforce to mental health, childcare, and financial resources to prevent high-cost care episodes and drive down overall claim costs.
Trusted by payer customers across the nation
The quality & compliance reporting checklist
Demonstrating your impact on community health shouldn’t require manual data aggregation. Replace vulnerable spreadsheets with an enterprise-grade platform designed to automate your reporting and protect member data.
Achieve NCQA accreditation: Join the 81% of accredited Medicaid organizations using Findhelp to capture and report the standardized data required for NCQA Health Outcomes and Community-Focused Care accreditation.
Support HEDIS and CMS metrics: Track assessments and closed-loop referrals to support HEDIS measures and positively impact CMS Star Ratings.
Manage community engagement and waivers: Generate audit-ready data to satisfy state Medicaid requirements, including 1115 waivers, community engagement activity verification, and streamlined invoicing for In Lieu of Services (ILOS).
“I hope in the future that social care will finally be implemented into the full healthcare picture. Findhelp will play an instrumental role in that rollout, along with the key partners across the country who were pioneer users of this amazing tool.”