Table 1 Demographic Characteristics and Health-Related Social Needs (HRSNs) of CMS Beneficiaries in the Accountable Health Communities (AHC) Model in the Greater Houston Area, September 2018 to December 2020.

From: Predicting health-related social needs in Medicaid and Medicare populations using machine learning

Characteristics

Sample (n = 9800)

Patients, No. (%)

Age, mean (SD), years

35.5 (26.3)

Race

Black or African American

3978 (40.6)

Other

2857 (29.2)

White

1763 (18.0)

Latin American

612 (6.2)

Hispanic or Latino

337 (3.4)

American Indian or Alaska Native

23 (0.2)

Asian or Pacific Islander

15 (0.2)

Unknowna

215 (2.2)

Marital status

Single

5809 (59.3)

Married

1411 (14.4)

Widowed

368 (3.8)

Divorced

365 (3.7)

Separated

67 (0.7)

Life Partner

6 (0.1)

Legally Separated

6 (0.1)

Unknown

1768 (18.0)

Sex

Female

5162 (52.7)

Male

3049 (31.1)

Unknown

1589 (16.2)

Insurance typeb

Medicaid

8370 (85.4)

Medicare

2231 (22.8)

Health Related Social Needs (HRSNs)b

Housing instability and/or quality

2876 (29.3)

Food insecurity

3780 (38.6)

Transportation

2722 (27.8)

Difficulty paying utility bills

2582 (26.3)

Any core need

5588 (57.0)

All core needs

813 (8.3)

Health System

Health System A

8211 (83.8)

Health System B

1108 (11.3)

Health System C

481 (4.9)

  1. aIncludes "Unknown", "Declined", "Not Answered” responses and records that had no response.
  2. bPatients could be in multiple categories so numbers do not sum to total.