IHE Scheduling Portal

The Context

A free service backed by real scale

Signify Health partners with health plans to offer eligible Medicare members an in-home health evaluation (IHE) at no cost, as part of their existing plan benefits. A licensed clinician visits the home, reviews medications and medical history, checks vitals, and reports findings back to the member's primary care provider. The program operates at real scale: more than 2 million evaluations a year, delivered by a nationwide network of licensed clinicians.

The population this program specifically reaches generally scores poorly on social determinants of health: income, transportation access, and housing stability, the non-medical factors that already make getting care harder.

Signify Health also offered Social Care Coordination (SCC), a separate service connecting members to non-medical support like transportation and help paying for prescriptions. SCC was enrolling members at a noticeably higher rate than the IHE. At the time of this project, the two had been consolidated: a clinician completes the IHE, then determines during that same visit whether the member has needs SCC could resolve, making the clinician the primary coordinator rather than SCC a separately scheduled appointment.

The Problem

A split in acceptance no one could explain

Too many eligible members were declining a free In-Home Health Evaluation that, by every available measure, benefited them. Yet those same members were actively enrolling in Social Care Coordination, a separate, non-medical support offering. The contrast was the real mystery: a population willing to accept social help was firmly shutting the door on clinical care.