The most comprehensive solution to mitigate social determinants

Understanding the factors that affect your population health can be tricky. With Innovaccer, help your patients find community services, track social needs, and coordinate care across the continuum to radically improve the health of the people you serve.

Real-time insights to track social health
Standardized screenings and assessments
Effective resource management
Closed-loop referrals to community resources
Transparent communication within teams

Is your zip code's
population healthy?

Address your patients’ susceptibility to various socioeconomic factors to improve population health based on Social Vulnerability Index (SVI).
Explore Tool


Understand and manage your populations’ needs

Comprehend the social needs of your patients and ensure omnichannel communication between your population and relevant community resources through:
  • Built-in surveys
  • Bulk outreach management
  • Real-time notifications

Connect your patients to community resources with
Aunt Bertha and other resources

Unlock a wide breadth of social assistance services such as food, housing, financial and legal help, health services, et al with Aunt Bertha and other resources for your patients in real time. Identify needs and send and manage seamless referrals to the needed community resource.
  • Largest network of community resources
  • Major social needs categories covered
  • Hundreds of service type and filters
  • Manage your community resource

Access the app for Android/iOS/Web Platform :
android iOS browser

Application available on web, app & tablet for social workers to close the referral loop

An application that enables bi-directional communication between care management team and community based organizations (CBOs) to help manage social risk factors
  • Get connected to a broader network of health systems for inbound referrals
  • Add, track, and manage all referrals
  • Manage patient appointments
  • Track history of referrals
  • Ensure alignment through seamless communication between care managers, community resource workers, and patients
  • Enable individual CBOs to send referrals among themselves internally

Advanced task management

  • Accept, reject and re-assign inbound provider referrals
  • Add and collaborate with team members and provide permission based data access
  • Add new clients and create referrals for walk-in clients
  • Keep the relevant details of the community based organization up-to-date, including resource availability, zip codes and patients served


Collect a number of insights into your patients’ education, economic situation, living conditions, and more. Additionally, the multiple language support ensures that there are fewer barriers between care teams and their patients.


Quickly share the results of the survey with care teams via automated alerts to address a patient’s high social risk or missed follow up. We ensure the insights are woven within provider workflows and are available to the care team, right in the moment of care.


Send out the survey to multiple patients at once with a single click. With automated and streamlined workflows, refer patients to the most suited community resources from a national database, where they can also rate those resources.


Find the prominent social determinants of health that impact your population and the outcomes your network generates, develop care plans to mitigate those specific determinants, and frequently track the performance of assigned community resources.

Case Study

Read how an Iowa-based Accountable Care Organization addressed social determinants for over 5000 patients

An Iowa-based ACO incorporated a streamlined, data-driven approach to determine how social determinants of health could be addressed

Research Paper

Revolutionizing Healthcare with SOCIAL DETERMINANTS OF HEALTH

Innovaccer has applied Machine Learning algorithms to over 55+ factors to deliver one of the most accurate views ever for social determinants of health in its first ever research on social determinants of health.

Read Research Paper

Drive activation in holistic population health management