Narrow The Health Equity Gap

Social determinants of health risk scores to address barriers to care.

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About our SDOH Risk Scores

Addressing Social Determinants of Health (SDOH) factors, which include the environmental conditions where people are born, live, learn, work, and play, is essential for care teams to  deliver value-based care and sustained outcomes. Our 4 SDOH risk scores and descriptive attributes let you take a comprehensive approach to treatment. Health Gorilla is the only platform empowering you with a single view of your patients’ clinical and SDOH data.

With our SDOH risk scores you access:

Gain a Deep Understanding of Your Patients

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SDOH Risk Score Use-Cases

Value-based care

Addressing social factors is vital to achieving the patient outcomes needed for value-based care arrangements. Use SDOH risk scores to understand member utilization patterns, find and fill care gaps, and refine risk scoring.

Care coordination

Address barriers to care, connect patients to community resources, improve medication adherence, and better understand dynamic patient needs.

Chronic condition management

Social circumstances can block the 164 million U.S. residents living with a chronic disease⁵ from effective use of health services. Use SDOH risk scores to address care gaps and avoid preventable disease progression.

Secure and Trusted

Health Gorilla's Health Interoperability Platform meets the highest data certifications for privacy and security, keeping your data safe.

We're SOC-2 Type 2 certified, independently audited on a routine basis, and pursuing a HITRUST certification.

Our platform is also compliant with FHIR R4 profiles, and we're a trusted partner to major EMR/EHR vendors.

Get Started Today

Get in touch with our interoperability experts to learn more.

¹ Magnan, S. (2017, October 9). Social determinants of health 101 for health care: Five plus five. National Academy of Medicine. Retrieved June 24, 2022, from
² Neiman, A. B., Ruppar, T., Ho, M., Garber, L., Weidle, P. J., Hong, Y., George, M. G., & Thorpe, P. G. (2017). CDC grand rounds: Improving medication adherence for chronic disease management — Innovations and opportunities. MMWR. Morbidity and Mortality Weekly Report, 66(45), 1248–1251. Retrieved June 24, 2022, from
³ Gier, J. (2017, April 26). Missed appointments cost the U.S. healthcare system $150B each year. Healthcare Innovation Group. Retrieved May 9, 2022, from
⁴ Rau, J. (2021, October 28). Medicare punishes 2,499 hospitals for high readmissions. Kaiser Family Foundation. Retrieved June 24, 2022, from
⁵ Boersma, P., Black, L., & Ward, B. (2020, September 17). Prevalence of multiple chronic conditions among US adults, 2018. Centers for Disease Control and Prevention. Retrieved June 24, 2022, from