Population Health Management
Expert articles and analysis related to population health management.
AI Summary — Last 7 Days
Population health management activity this week centered on translating VBC from broad primary-care attribution into condition- and population-specific operating models: Henry Ford Health, Health Alliance Plan, and Protera Health’s MSK partnership shows integrated systems using digital clinical models, specialty navigation, and payer-provider alignment to manage high-cost episodes under value-based arrangements (HCTTF case study). At the same time, FQHCs/CHCs, ACO enablers, and rehabilitation providers are pushing for better infrastructure and real-world data—seen in NACHC’s CMS-CMMI VBP opportunities table and Hartford HealthCare/APTA’s frailty pilot—while KFF’s dual-eligible profile underscores why social risk, functional status, and Medicaid alignment remain central to VBC performance for complex populations. The main tension is that delivery-system innovation is accelerating just as Medicaid economics are tightening, with Elevance exiting D.C. Medicaid and considering additional market exits, raising questions about whether payer participation will keep pace with population-health ambitions in safety-net and dual-eligible markets.
Related Articles
From Invisible Care to Systemic Impact: The Role of CHCs in Value-Based Healthcare
From Invisible Care to Systemic Impact: The Role of CHCs in Value-Based Healthcare  HCI Innovation Group
FQHC CMS-CMMI VBP Opportunities Table
FQHC CMS-CMMI VBP Opportunities Table  NACHC
What Are Health-Related Needs and Why Do They Matter?
What Are Health-Related Needs and Why Do They Matter?  NACHC
California’s San Luis Obispo County Awards Crestwood Behavioral Health $4.6 Million Contract To Operate New Youth Psychiatric Facility - open minds
California’s San Luis Obispo County Awards Crestwood Behavioral Health $4.6 Million Contract To Operate New Youth Psychiatric Facility  open minds
Firearms as a Market-Driven Epidemic: Potential Pathways to Reduce Preventable Firearm-Related Harm in the United States
From newsletter: Cultivating a Sustainable Culture for Policy Innovation Insights from two former CMS leaders ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ...
Modifiable Risk Factors and Attributable Ischemic Heart Disease Mortality in US States, 1990-2023
Modifiable Risk Factors and Attributable Ischemic Heart Disease Mortality in US States, 1990-2023Â Â JAMA
Rural Health Transformation Efforts Offer an Opportunity for Pharmacy to Shine
3 Things to Know About Substance Use and Suicide Mortality
This brief explores substance use and suicide deaths, finding that, collectively, these deaths ranked #3 in leading causes of death in the U.S. in 2024. Trends in substance use and suicide deaths over...