Social Drivers of Health

The Wellbeing Care Community platform unites community-based organizations, health, social services and more to address Community Care Coordination needs.

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The Challenge – Addressing

Social Drivers of Health (SDOH)

Housing instability, food insecurity, lack of transportation, and digital exclusion drive poor health outcomes in every region. While health systems are increasingly investing in Community Care Hubs and cross-sector partnerships, the lack of digital infrastructure limits impact.

Referrals are often managed in systems that do not close the loop. There’s no standardized tracking of what happens after a food or housing referral is made.
Community-based organizations lack tools to measure impact, and healthcare systems are disconnected from social care providers.

Without shared systems, promising collaboratives struggle to demonstrate ROI or secure long-term funding, and people needing help fall through the cracks.

Wellbeing Community Care –

Infrastructure for Whole-Community Coordination

Shared SDOH Assessments and Success Plans:

Personalized support plans tied to SDOH needs across the life course.

Closed-Loop Referrals and Outcomes Tracking:

Real-time feedback loops between referral senders and service providers.

Role-Based Access and Multi-Sector Engagement:

Supports CHWs, peer navigators, clinic staff, and CBOs with tailored tools.

myWellbeing Directory Integrated Resource Directory:

Curated local listings with automated updates and mobile access

Reporting and Analytics:

Aggregate and client-level insights for funders, payers, and community stakeholders.

WCC turns fragmented networks into accountable ecosystems focused

on improving whole-person wellbeing.

The Strategic Advantage: Equity, Efficiency, and Scale

For Individuals

Faster connection to food, housing, and support — without repeating their story. Personalized care plans empower people to take charge of their wellbeing.

For Providers

Easier coordination, clearer insight into client progress, and better alignment with care teams. Less duplication and more time delivering services.

For Communities and State Agencies

WCC helps regions operationalize health equity goals, align with Medicaid transformation initiatives, and meet requirements for CBO involvement in value-based care.

Why It Matters

Complements and enhances existing 211 and e-referral systems.
Supports Community Care Hub accreditation and grant compliance.
Enables rural and urban collaboratives to scale with shared infrastructure.

WCC is the backbone technology for place-based initiatives

focused on health equity, prevention, and resilience.