The Whole Health Index

What is the Whole Health Index?

 

Until now, the healthcare industry has been limited to measurements for physical health -- such as blood tests that measure the chemical balances in our bodies or breathing tests that measure lung capacity -- and in recent years, behavioral health. What has been missing is a measure of the social factors that contribute to our health and the health of our communities. This is why Anthem Blue Cross developed the Whole Health Index (WHI).

 

The WHI gives us the ability to measure whole health. Created by our physicians, data scientists, and researchers, it is a first-of-its kind assessment of individual health. Using a scale of 0 to 100, the WHI can evaluate a person or group’s relative health over time and assess the physical, behavioral, and social factors that influence it.

How is the Whole Health Index Calculated?

 

The WHI uses more than 90 data points that fall into the broad categories of physical, behavioral, and social health. These data points range from food insecurity, transportation accessibility, and housing instability to preventive dental exams, immunizations, and treatment for mental health conditions. 

 

The WHI creates a factual, objective, numerical calculation for each person. This makes it possible to measure the success of strategies designed to foster whole health and advance health equity.

50%

Social Drivers

  • Financial strain
  • Housing instability
  • Affordability
  • Food insecurity
  • Transportation barriers
  • Neighborhood composition

 

 

 

 

 

 

 

50%

Physical & Behavioral Drivers 

 

20% Clinical Quality

  • Cardiovascular care, diabetes care, analogy, respiratory care
  • Overdue/appropriateness patient safety
  • Access to care, prevention screening
  • Acute care utilization care coordination
  • Behavioral health
  • Women’s health

 

30% Global Health

 

Presence of both acute and chronic conditions

The WHI creates a factual, objective, numerical calculation for each person. This makes it possible to measure the success of strategies designed to foster whole health and advance health equity.

Explore the WHI in California

 

This 2023 county snapshot map of California members in a subset of our commercial health plan membership shows how physical, behavioral, and social factors affect the overall health of the people we serve.

Average County Whole Health Index

Hover over or click a specific county on the map to display WHI information about that county. Higher numbers indicate better health.

 

The pop-up for each county shows the average WHI. Two counties can have a similar average WHI, but their physical (PD) and social (SD) drivers may be different, so these numbers are also included to give a better understanding of what is affecting health in that county. A lower physical driver assessment may indicate that more people in that county have illnesses or lack access to quality healthcare, while a lower social driver assessment may indicate more significant health-related social needs (whether for individuals or their community) such as greater transportation challenges.

 

For example, counties that are experiencing an increase in substance use disorders within their population may show a lower physical driver assessment even if their overall WHI is in the average range. Rural counties may show a lower social driver assessment due to transportation barriers or lack of access to nutritious food.

 

For privacy purposes, any areas or filters containing fewer than 30 members are not displayed and shown in white.

“The Whole Health Index helps us deliver on our aim of ensuring our members and local communities have equitable access to the care and services they need to achieve optimal health. Health is complex, and each individual or group of individuals can experience unique barriers in accessing the care, programs, and services they need. By integrating physical, behavioral, and social factors into a single assessment, we can better identify unique individual and community needs and connect them to the right care and resources that can positively influence their health and livelihood.”

 

Beth Andersen, President

California Commercial Business, Anthem Blue Cross

A Closer Look at California

 

The WHI measures the overall health of a state’s residents.  It can numerically validate information that may be only anecdotally believed about social drivers of health, and as a result, identify actions that may be taken to improve health. For example:

 

 Across California's major regions, physical health is overall consistent, while social health varies. There is ample opportunity to address health-related social needs.

 

 The nine-county San Francisco Bay Area has high WHI values, with an average WHI of 60, PD of 53, and SD of 67.

 

 Similarly, Greater Los Angeles demonstrates higher than average WHI values, with an average WHI of 56, PD of 54, and SD of 58 across the five-county metropolitan area.

 

 Outside of California's major cities, physical well-being remains above average and there are opportunities to address health-related social needs. Across 40 rural counties that cover nearly 15% of the state's population, the average WHI is 50, the average PD is 53, and the average SD is 47.

 

Anthem Blue Cross can also use the WHI at a more granular level to improve member health outcomes in California. Leaning on established partnerships with our network of community-based organizations, we can support our members’ health more holistically.

WHI In Action: Community Partnerships

 

With the WHI helping to guide our understanding about what is most needed in a community, Anthem Blue Cross continues to listen to and partner with local organizations to better meet those needs. These are examples of how Anthem has helped communities address health-related social needs in California.

Supporting Community Doulas

 

SisterWeb’s Community Doula Network increases access to safe and equitable maternal care for Black, Latino, and Pacific Islander women and babies. Doulas offer non-medical emotional and physical support and health advocacy before, during, and after birth. SisterWeb’s network advances culturally, racially, and ethnically aligned doula care in the San Francisco area.

 

 

Growing Nutrition Programs in Los Angeles

 

With a focus on food access and equity at four under-resourced schools in Los Angeles, a partnership with Heart of America and Chicas Verdes works to show students how to grow nutritious food in their communities.  

 

Heart of America leads the building and improvement of on-campus teaching gardens, and Chicas Verdes provides the gardening education. Once the gardens and distributions are underway, culturally responsive nutrition and culinary education for students and caregivers is added. An additional partnership with Common Threads, a nonprofit that provides professional chef instruction, presents students, families and communities in-person and virtual culinary classes. Together, these efforts help families discover how to cook a nutritious, affordable meal with fresh ingredients.

 

Results as of December 2024:

 

 Pounds of food distributed: 70,000

 

 Hours of nutrition education provided: 16,000

 

 Number of students and families reached: 5,300

Frequently Asked Questions

The WHI includes not only members who live in the displayed state and receive health benefits coverage from an Anthem Blue Cross, but also members who live in the displayed state and who receive health benefits coverage through employers headquartered in other states in which Anthem plans are offered.

 

To learn more about how WHI can help guide benefit program selection and improve member health outcomes, please reach out to your Anthem sales representative.

*“PD” stands for physical drivers of health, and it encompasses the factors that typically go into measuring health, such as presence of illness, whether a person has access to and uses the healthcare system, care for chronic illnesses, and whether a person gets regularly tested for illnesses. The “SD” stands for the social drivers of health that have traditionally been left out of health measurement or given less importance, such as where someone lives, their employment situation, the ability to get nutritious food, and whether they have transportation. These factors make up the Whole Health Index and work together to gauge overall health.