West Virginia faces one of the highest diabetes rates in the nation and for many rural Medicaid members, preventable vision loss remains a real risk due to limited access to routine screenings. This session highlights how Wellpoint West Virginia and Retina Labs have partnered to tackle Social Determinants of Health (SDoH) challenges head-on by reimagining how and where preventive care is delivered. Attendees will learn how a dual-strategy care delivery model that combined in-home diabetic eye exams with community health fair screenings helped close critical HEDIS gaps in care measures while addressing SDoH factors that often stand in the way of member program participation. The presentation will showcase real-world implementation strategies, operational insights, and data-driven outcomes that demonstrate improved screening completion rates, stronger member engagement, and increased member plan satisfaction. Designed for health plan leaders, quality improvement teams, and population health professionals, this session offers a practical roadmap for expanding access to preventive care in rural and underserved communities. Discover how meeting members where they are can transform quality performance, improve long-term health outcomes, and ensure preventive care is truly within reach no matter where their health plan members live.

Key Takeaways:

• Access Drives Outcomes: Removing common barriers such as transportation, travel distance, and appointment availability through in-home and community-based screenings significantly increases preventive screening completion rates and reduces avoidable downstream health complications stemming from diabetes.
• Flexible Care Models Improve Quality Performance: A dual-strategy care delivery model that combines home-based visits with community health events is much more effective than a single outreach method for closing diabetic eye exam & A1C HEDIS gaps in care measures within rural Medicaid member populations.
• Collaboration Enables Scale & Sustainability: Stronger alignment between health plans, clinical partners, and community stakeholders remains essential to operationalizing compliant, data-driven preventive care programs that advance health equity while delivering measurable improvements in member satisfaction and long-term health outcomes.