Navigating Social Determinants of Health

  • June 06, 2018
  • 2:00 PM – 3:00 PM ET
  • Online

Up to 80% of a patient’s health is determined by non-clinical factors.*

Taking measures to address social determinants of health is a significant advancement in care management and population health. To move the needle on outcomes, health care organizations must be able to aggregate and act upon all data relevant to a patient’s health. This is especially true for high-risk populations and the transition to value-based care.

Community Care of North Carolina is pioneering a whole person approach to care by incorporating processes and workflows that address social determinants of health for their members. A particularly challenging issue is ensuring that their populations have transportation to and from medical appointments.

Lyft will provide an alternate perspective, as they discuss the unique challenges of entering the healthcare market and providing transportation and other services to high-risk populations to drive better outcomes.

Join our webinar to discover how Lyft and Community Care of North Carolina are making a difference.

*The Robert Wood Johnson Foundation.

Attendees will learn: 

  • The effect of social determinants of health
  • How to implement additional resources and services into comprehensive care management
  • How social determinants affect current and future ROI


Michelle Bucknor, MD, MBA, Chief Medical Officer, Community Care of North Carolina



Dr Bucknor joined Community Care of North Carolina in November 2017 as Chief Medical Officer. She also serves as the Medical Director of Community Care of Wake and Johnston Counties. Since joining CCNC she has been focused on quality improvement by providing leadership for CCNC Clinical Programs, Quality Management, and the CMS Transforming Clinical Practice Initiative grant funded program. Prior to joining CCNC she served as Chief Medical Officer for Advance Community Health, a Federally Qualified Health Center, located in Wake and Franklin Counties. Prior to relocation to North Carolina she was an Associate Medical Director at Children’s Mercy Pediatric Care Network in Kansas City. There she was responsible for the development and expansion of a Medicaid value based incentive program and for the creation of a Patient Centered Medical Home Practice Facilitation program to support independent, community-based provider practices.

 Jamie Philyaw, MSW, Community Care of North Carolina



Jamie Philyaw is Vice President of Care Management for Community Care of North Carolina, where she leads an award-winning care management program with quality and cost-reduction results documented by peer-reviewed studies. CCNC has pioneered a highly-targeted approach to patient intervention that yields two to three times the return on investment of programs focused only on the highest-cost patients. Prior to her current role, Jamie was Network Director for Community Care of Wake and Johnston Counties (CCWJC), one of CCNC’s fourteen regional networks, where she oversaw the clinical operations of the network. Prior to being named Network Director, Jamie was Behavioral Health Program Manager for CCWJC. Jamie has over 20 years of Care Management experience in a multitude of health care settings such as Acute Inpatient, Rehabilitation, Public Health, and Children Services. Jamie is a 2015 recipient of the Triangle Business Journal’s “Health Care Heroes” award and the CCNC Healthcare Quality Award. Jamie received her both her Bachelors and Master’s degrees in Social Work from East Carolina University and is a Certified Case Manager.

Omar Nagji, Regional Vice President, Lyft Healthcare



Omar Nagji joins the Lyft Healthcare with 14+ years of Healthcare experience and co-leads Lyft’s healthcare team and overall strategy. Before joining Lyft, Omar spent several years in the Healthcare Analytics space driving clinical, financial, and operational efficiencies; working with partners ranging from single-facility institutions, like Boston Medical Center and Stanford Children’s, to integrated networks such as Community Health Network, Ascension Health, and Tenet Healthcare. Omar studied Health Policy & Administration at the University of North Carolina and began his career with Stockamp & Associates, now Huron Consulting.