Bringing communities together to solve social determinants of health and improve outcomes.

Notable Outcomes

  • 30% reduction in hospital readmissions

  • 46% reduction in post-acute care spend

  • 9x increase in interagency referrals

  • 35 million+ SDOH-related activities (assessments, need identification, referrals shared, services provided)

Flagship Customers

Iowa Department of Public Health, Maximus, Medica

Awards and Recognition

Finalist in Adaptation Health’s and Arizona Healthcare Cost Containment Systems’ 2019 Arizona Medicaid Innovation Challenge

Founded 2011
HQ Dallas, TX
Leadership Jamo Rubin, MD, President
Employees 100+

Go to Market


Company Vision

Signify Community was founded in 2011 with the mission of “Turning Your Town into a Team.” They have served over three million people by building and maintaining curated, accountable networks of community-based organizations (CBOs), agencies, providers, and plans that address SDOH in markets across the U.S.

Signify Community emphasizes a focus on sustainable outcomes, such as hospital readmissions, ED utilizations, post-acute care spend, and quality measures. The success of their offering hinges on the creation and maintenance of a longitudinal social record with embedded privacy infrastructure that stays with members over time and across care settings.


Target Customer: Health plans, Health systems, State Medicaid Departments, Alliances of CBOs, government agencies

Market Footprint: 125 locations across the United States

Strategic Partners: Founding member of the National Alliance to Impact the Social Determinants of Health (NASDOH), Member of Health Tech 4 Medicaid (HT4M)

Key Investors: Signify Community, originally founded as TAVHealth, was acquired in 2019 by Signify Health


Solution Overview


Product Description

Signify Community’s offering combines network-building support services with a privacy-enabled collaboration platform to bring together accountable networks of community-based organizations (CBOs), agencies, providers, and plans.



Key Features

  • Identify member-level social risk through a combination of predictive SDOH analytics and/or in-home health risk evaluations (HREs)

  • Building and maintenance of a curated, accountable network of community-based organizations (CBOs) and agencies

  • Privacy-enabled collaboration platform that allows community partners to coordinate social services delivery and documentation

  • Advanced privacy architecture that incorporates all state and federal laws with role- and permissions-based security

  • Dedicated social care coordination with a specialized outreach team trained in motivational interviewing techniques and health psychology

  • Industry-standard SDOH assessments and screening tools capable of being customized as needed

  • Comprehensive reporting tools that measure community activity (e.g. SDOH identification and resolution, referral response times) and tie social interventions to quality, satisfaction, and financial outcomes



Pricing Model

Signify Community charges a flat monthly fee, with additional charges for data integration and custom workflows.

Regardless of customer type, the price includes a free, unlimited number of licenses for all participating CBOs and system users.

Signify Community provides free, unlimited number of seat licenses for participating CBOs and their users.



Services Offered

Community Network Formation

  • Member-level social risk identification and predictive analytics

  • CBO identification, recruitment, credentialing, and onboarding

  • Building and maintenance of legal structure and data sharing agreements

  • Tracking of community network performance and accountability

Privacy-Enabled Collaboration Platform

  • Establishment of two-way data exchanges, including the management of interfaces and data format standards for real-time messages

  • Design of collaborative workflows and reporting dashboards

Dedicated SDOH Care Coordination

  • Fully-delegated SDOH outreach team to provide telephonic assessments of each member’s individual social needs, and to connect them to eligible community programs



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