Veradigm Wins KLAS Award for SDOH Data Integration, Signaling Shift in Value-Based Care
Event summary
- Veradigm received the 2026 KLAS Points of Light Award for embedding social determinants of health (SDOH) data into provider EHR workflows.
- The initiative involved Veradigm, a national health plan with 27 million members, and Raleigh Durham Medical Group.
- The project utilized Veradigm’s Payer Insights (VPI) platform to deliver SDOH-triggered clinical reminders and connect providers to referral networks.
- The collaboration resulted in improved care gap closure rates and a FHIR-aligned, scalable model for payer-provider interoperability.
The big picture
The KLAS award highlights a growing recognition of the need to integrate SDOH data into clinical workflows to improve patient outcomes and manage costs within value-based care models. Veradigm’s solution addresses a critical bottleneck – the lack of timely access to SDOH data for clinicians – and positions the company to capitalize on the increasing demand for interoperable data solutions within the healthcare ecosystem. The initiative’s success could accelerate the adoption of similar models across the fragmented US healthcare landscape.
What we're watching
- Adoption Rate
- The success of Veradigm’s model hinges on broader adoption by independent practices and health plans, which will require demonstrating clear ROI beyond the initial pilot.
- FHIR Scalability
- While the FHIR-aligned architecture promises scalability, the real test will be maintaining data integrity and interoperability as the system expands across diverse EHR systems and payers.
- Regulatory Risk
- Increased scrutiny of SDOH data usage and privacy could impact Veradigm’s ability to leverage this data, necessitating ongoing compliance efforts and potentially limiting the scope of its services.
