Turn social risk into measurable impact

The first HITRUST-certified SDOH platform, SocialScape® shows where and how social risk drives poor outcomes and excess costs, enabling verifiable impact on both.

Smiling older woman receives plants from a man outside near house siding.Hexagonal heatmap highlighting housing risk levels in Dallas, Texas, marked with a blue location pin and a cluster of 4.
Details showing address, Aetna HSA Plan, coverage for you only, salary up to $125k, and icons with risk numbers.
A man helps a girl with her homework at a kitchen table with notebooks and bowls of grapes.

With SocialScape, organizations have achieved up to

200% ROI

on SDOH programs.

Two people outdoors, one smiling and wearing glasses, engaged in conversation.

Spot risk earlier than traditional data sources

Person-level social risk scores surface hidden barriers before claims or surveys catch up.

Understand the “why” behind every risk

See which SDOH domains are elevated, the exact drivers, and how to intervene.

Identify resource gaps and invest in opportunities

Overlay social risk with places of interest, such as providers and healthy food outlets, in one interactive view.

Match the right people to the right program

Prioritize members by need and potential ROI for programs like medically tailored meals or maternal health programs, delivering a sustainable impact on health and avoidable costs with reduced overhead.

We’ve seen partners:

Identify transportation barriers and save

$
3,423

PMPM through improved access to primary and follow-up care

Intervene on food swamps and reduce ED visits by

70%

Model housing instability interventions to avoid up to

$
6.3M

in ED utilization

Use social risk data to drive smarter decisions

SocialScape equips your teams to detect, understand, and act on health-related social needs (HRSN), before they impact outcomes or drives avoidable costs.

Map view with hexagonal green zones overlaid, and a search bar for New York, NY, showing Economic Climate.
Details showing address, Aetna HSA Plan, coverage for you only, salary up to $50k, and icons with risk numbers.

Identify

high-risk members before utilization spikes

From complex chronic conditions to specialized needs in adolescents, pinpoint who’s at risk and why.

Act early to close care gaps, improve engagement, and influence readmissions, Stars, and HEDIS performance across high-RAF Medicaid, ACA, and MA populations.

Win

competitive RFPs with 
data-backed insights

Stand out with sub-neighborhood level data that quantifies need and projected impact.

Demonstrate a deep understanding of the populations you serve, and strengthen your position in competitive RFPs.

Map of Northeast Market with population count 190,863 and charts on race, education, income, age, and gender.
Economic Climate gauge showing 26.1% with Income and Cost of Living bars below.Circular progress bar showing 26.9% under Food Landscape with tabs for Affordability and Accessibility.Housing Environment with 5.2% value, showing affordability and quality bars with affordability longer.Transportation section showing 0% progress with access and cost bars at the bottom.
Next Best Action panel showing Maryland with financial and transportation risk scores of 4-5 and diabetes attribute yes.

Invest

in interventions with precision

Identify exactly where to invest, whether in transportation, food access, housing support, or digital access, at a 200-meter resolution.

Quantify need, track outcomes, and show a Mathematica-validated ROI.

Design

inclusive clinical trials 
with confidence

Overlay clinical criteria with social context to identify and effectively recruit trial participants.

Understand the social needs that influence engagement and retention, helping trials reach better outcomes faster.

Maternal health section showing population count of 60,825 and listed conditions including diabetes.
Median annual cost per person for hypertension with at least two ED visits is $8,022.Radial bar chart showing values: 34.8% with dollar sign, 43.2% with fork and knife, 28.9% home, 26.1% bus, 19.2% heart.

Social risk from every angle

Risk Domain

Economic Climate

Risk Driver

Income, Cost of Living

Risk Domain

Food Landscape

Risk Driver

Accessibility, Affordability, Literacy

Risk Domain

Housing Environment

Risk Driver

Affordability, Crowding, Quality

Risk Domain

Transportation Network

Risk Driver

Transportation Access, Proximity to Resources

Risk Domain

Health Literacy

Risk Driver

Culture, Demographics, Education

Risk Domain

Digital Landscape

Risk Driver

Affordability, Accessibility, Digital Literacy

Risk Domain

Social Connectedness

Risk Driver

Loneliness, Social Capital, Social Network Quality

SocialScape integrates federal, local, commercial, and consumer data sources—spanning 800+ social and community-level data elements—to generate person- and community-level risk scores across seven health-related social need domains.

The result: visibility into the exact factors driving risk, so you can focus interventions where they matter most.

*Digital Landscape and Social Connectedness only available at community level.

Inside SocialScape

SocialScape delivers a clear, actionable view of social risk, in a secure, HITRUST-certified platform. From interactive maps to domain-specific scoring, every feature is built to help you see and solve what claims and clinical data can’t. Easily combine these insights with claims, EHR, and operational data or integrate it directly into your own platform.

With SocialScape, you can:

Score SDOH risk at the person and community level.

Visualize risk alongside provider networks, transportation access, and healthy food locations.

Prioritize members and programs based on clinical and financial impact.

Diabetes data showing population 60,661, median annual cost $8,036, and 30% elevated risk in five categories.Diabetes data showing population 60,661, median annual cost $8,036, and 30% elevated risk in five categories.Hypertension data: 63,119 population, $8,022 median cost, risk percent markers with icons for money, food, home, car, heart.

Quantify the impact of every social investment

Through our partnership with Mathematica, we measure the ROI of your SDOH interventions using actuarially backed methods. From improving Stars and HEDIS scores to reducing avoidable utilization, we don’t just predict impact—we prove it.

See how we measure outcomes

The SocialScape platform allows us to deepen our understanding of the SDOH needs of our members and communities and develop data-driven interventions to drive change.”

Program Manager at a regional payer

Socially Determined gave us the missing piece in our population health strategy—surfacing the social drivers behind high-cost events so our teams could move faster and intervene smarter.”

Suneksha KC

Chief Transformation Officer, Netrin Health

Our partnership with Socially Determined gave us the missing piece in our population health strategy.

We had the clinical and claims data, but Socially Determined helped surface the social drivers behind high-cost events. With that added lens, our teams were able to move faster and intervene smarter. That is what value-based care should look like.”

Suneksha KC

Chief Transformation Officer

Socially Determined's social risk analytics help us to precisely identify individuals facing critical barriers like transportation and food insecurity.

This helps empower us to collaborate seamlessly with healthcare organizations, proactively connecting eligible members with the vital support they need.”

Erin Jozwiak

Partner Development Manager

Socially Determined is a vital partner in our efforts to improve health equity.

The SocialScape platform allows us to deepen our understanding of the SDOH needs of our members and communities and develop data-driven interventions to drive change."

Program Manager at a regional payer

Priority Health’s partnership with Socially Determined allows us to progress in our vision of a future where health is simple, affordable, equitable and exceptional.

Socially Determined insights and data informed our approach to serving at-risk populations like expectant mothers. Their granular social risk data and insights fuel the design of maternal health programs that directly address real-world barriers.”

Jennie Nowak

Director of Population Health Activation, Population Health & Health Equity