West Virginia faces one of the nation’s highest diabetes rates,  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.

Using a dual-strategy care delivery model, critical HEDIS® gaps were closed by combining in-home diabetic eye exams with community health fair screenings. This integrated approach directly addressed the underlying SDOH barriers that typically limit member participation. This 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

Learning Objectives:

• Identify how to leverage in-home and community-based screening models to close diabetic eye exam HEDIS® gaps among rural Medicaid members.
• Evaluate how addressing various SDOH factors through a flexible approach to care delivery can improve screening completion rates, member engagement and quality performance metrics.
•  Apply key operational and partnership lessons from the Wellpoint West Virginia and Retina Labs collaboration to design scalable and compliant preventive care programs that improve long-term health outcomes for historically underserved member populations.