PUBLICATIONS
Advancing Access, Quality, and Equity Through Medicaid Section 1115 Waivers
Integration of Primary Care and Behavioral Healthcare: An Introduction to the PC/BH Partnership Decision Map
Primary Care Medication Management
Leveraging Data to Meet Social Care Needs in Support of Achieving Equitable Outcomes
Improving Access to Integrated Behavioral Health and Substance Use Disorder Treatment
The New Federal Medicaid Managed Care Rule: Impacts and Opportunities to Improve Access and Quality of Care for Medicaid Beneficiaries
Achieving Success in Population Health Management with Integrated Care
Addressing Nutrition and Food Access in Medicaid
his 28-page report, Addressing Nutrition and Food Access in Medicaid, is a collaborative effort from The Food Trust, Population Health Alliance (PHA), and the Center for Health Law and Policy Innovation of Harvard Law School (CHLPI). The newly released report highlights opportunities for food access organizations, health care payers, and policymakers to leverage funding from state Medicaid programs to improve access to nutrition interventions in health care settings.
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PHA's New Series of SDOH Issue Briefs: Health of Populations and Social Determinants of Health
This first brief, “Taking Stock: Historical Context and How the Pandemic Is Changing the Face of Social Determinants of Health and Health Equity,” sets the stage and defines the context for the briefs that follow. It begins by reviewing a 50-plus-year history selected for relevance to SDOH and health equity, with a goal of helping clarify how we have arrived at our current state. It then focuses on current research that highlights how COVID-19 has exacerbated long-standing health and wealth disparities in populations, considering how societal structures and geography drive ill health and mortality in our most vulnerable populations. Finally, it discusses how the history and research bring us to a point of required action on health inequity, considering what it might take to change.
Taking Action on Social Determinants of Health and Health Disparities
For years, PHA has long recognized the impact that Social Determinants of Health (SDOH) have had on the rising costs of healthcare and more importantly the overall health of Americans. In efforts to first highlight the issue’s importance and to seek solutions to address the matter, the PHA Quality and Research Committee published, “Taking Action on Social Determinants of Health and Health Disparities,“ well-received whitepaper distributed to the membership and the partner community in March of 2018. This month, PHA is rereleasing that original 2018 report, which includes a new preface, and will soon begin publishing a series of new issue briefs pertaining to the current state of SDOH, Health Equity, Behavioral Health, Innovative Approaches to Care Management, and other pertinent topics.
Population Health Management: Our Framework for Optimizing Senior Health Across the Continuum
Our purpose in writing this article is to highlight how Population Health Management (PHM) strategies apply to and integrate with the lives of people over the age of 50, applying our framework for supporting healthy lives. We follow these individuals along the aging continuum—moving with the individual from being active and well, to becoming chronically ill or possibly frail disabled, or as they age with optimal health in mind and body.
Technology and Engagement: How Digital Tools are Reshaping Population Health
According to the Population Health Alliance, “Engagement in health is when an individual performs sustained actions towards achieving optimal health and well-being.” Recently, PHA convened a group of thought leaders to identify how technology can drive engagement in health and the types of technology that are enhancing our reach and impact as we work to engage individuals in their health and healthcare. This paper outlines the types of technologies which may be used to support population health programs, provide guidance on how technology may be incorporated into an overall engagement strategy, identify ways to measure engagement using these tools, and list the practical considerations when incorporating technology into your engagement strategy.
Program Measurement Evaluation Guide - Overview
When you assess the impact of your employee health management (EHM) program, which metrics are most important? And what exactly should each metric evaluate to determine effectiveness?
Program Measurement & Evaluation Guide: Core Metrics for Employee Health Management
The Health Enhancement Research Organization (HERO) and Population Health Alliance (PHA) are pleased to present Program Measurement & Evaluation Guide: Core Metrics for Employee Health Management (herein referred to as “Guide”), a core set of metrics for the evaluation of employee health management programs.
Program Measurement Evaluation Guide (Executive Summary)
Program Measurement Evaluation Guide: Core Metrics for Employee Health Management (Executive Summary) The Health Enhancement Research Organization (HERO) and Population Health Alliance (PHA) recently published Program Measurement and Evaluation Guide: Core Metrics for Employee Health Management, a core set of metrics for the evaluation of employee health management programs.
Participant Engagement and the Use of Incentives: Considerations
This document identifies and offers insight into the various questions that surround the creation and utilization of incentives, including the role of organizational culture in an incentive design program, the relevance of psychomotivational theory and how it helps drive decisions regarding types of incentives, incentive designs currently being utilized in the industry, budgetary considerations, emerging issues and evaluation strategies for incentive programs.
Population Health Alliance Obesity Toolkit
This toolkit was developed to address the management of obesity by all stakeholders including medical providers, employers, and payers. Surveyed users indicated the need for tools to enable conversations between primary care providers and their patients
Population Health Guide for Primary Care Models
This Guide was developed to inform and guide the implementation of key components of population health and specific strategies and suggestions for primary care-centered models to embed the components into their practice. In addition, this Guide offers suggestions and resources on measuring the impact of these efforts from both a cost and a quality perspective.
Global Population Health Report: Brazil
This Global Population Health Report on Brazil, developed by Population Health Alliance International Task Force, offers insight into the state of health care in the region through discussion of key health care related topics and case studies from PHA member organizations.
Ms. Polak is a senior director based in Washington, D.C. In her role, she provides policy counsel and analysis to clients with matters involving regu-lations, legislation, and business implications. Anne Marie’s experience includes developing strategic messages and policy positions for Capitol Hill, administration, trade associations, and corporate audiences. Prior to joining Leavitt Partners, Anne Marie was a vice president for Faegre BD Consulting in the firm’s health and biosciences group. She also spent five years with the Podesta Group in Washington, D.C., while completing her law degree in the evenings at the George Mason University School of Law, graduating cum laude in 2010. Anne Marie also worked in the government and legal affairs office of Novo Nordisk in Washington, D.C., and as a congressional aide to Rep. Michael Ferguson of New Jersey.
Dr. Fabius has recently returned to his start up. HealthNEXT, a company dedicated to the development of organizational cultures of health — after serving as Chief Medical Officer of Truven Health Analytics (formerly the healthcare business of Thomson Reuters), the world’s leading source of intelligent information for business and professionals. In this capacity he is charged with developing and deepening relationships with customers, advising on product development, and providing counsel to the leadership on business strategy and medical issues. Formerly, Dr. Fabius served as strategic advisor to the President of Walgreens Health & Wellness Division. This organization will coordinate over 1,000 workplace health centers and 10,000 pharmacies, many with retail clinics, into a seamless primary care network across the country within the next five years. In the not too distant future, it will be possible to offer large employers medical and fitness services on-site as well as episodic illness care, health coaching and disease management monitoring at the employee’s nearest Walgreens pharmacy.
Mr. Buettner is an explorer, National Geographic Fellow, award-winning journalist and producer, and a New York Timesbestselling author. He discovered the five places in the world—dubbed Blue Zones—where people live the longest, healthiest lives. His articles about these places in The New York Times Magazine and National Geographic are two of the most popular for both publications.
Ms. Cooney provides strategic direction for the Centers three Pillars of Population Health – Clinical to Community Connections, Health Equity and the Social Determinants of Health, and Public Health Data Analytics and Informatics. Mary Ann previously worked for 14 years at the New Hampshire Department of Health and Human Services where she was Deputy Commissioner for the Department and Director of Public Health.
Mr. Scully is a General Partner in the Healthcare Group, having joined WCAS in 2004. Before joining WCAS, he was the Administrator of the Centers for Medicare and Medicaid Services (CMS) for three years and the President and CEO of the Federation of American Hospitals for six years. He also served as the Deputy Assistant to the President and as the Associate Director of OMB under President GHW Bush from 1989 to 1993, and has practiced law at Alston and Bird; Patton Boggs; and Akin, Gump, Strauss Hauer and Feld. He is a Principal at the Lincoln Policy Group.
Dr. Don Wright has served as the Deputy Assistant Secretary for Health and Director of the Office of Disease Prevention and Health Promotion (ODPHP) since January 2012. In this capacity, he leads coordination and policy development for public health and prevention activities within the Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services. He is also currently the acting Executive Director of the President’s Council on Fitness, Sports & Nutrition.
Dr. Sidorov is a board-certified in general internal medicine physician with more than 25 years of experience in primary care, inpatient care, medical education and evidence-based practice. Jaan believes physician leadership throughout the continuum of care is the bedrock of value-based care delivery. He received his medical degree from Pennsylvania State University College of Medicine, and completed his internship and residency at the Dartmouth Hitchcock Medical Center in Hanover, New Hampshire. Jaan also served as a Chief Resident at Reading Hospital in Reading, Pennsylvania.
Dr. Ostrovsky is a practicing physician, social entrepreneur, and health policy expert who specializes in human-centered design, lean manage-ment, quality improvement, population health, and digital health. Dr. Ostrovsky was most recently the Chief Medical Officer for the Center for Medicaid and CHIP Services (CMCS), the nation’s largest insurer covering over 74 million people, annually.
Dr. Choice is vice president and medical director for physical medicine services at American Specialty Health (ASH). Dr. Choice oversees the Rehabilitation Services Clinical Quality Evaluation program and leads the content development, training and clinical quality processes for ASH’s musculoskeletal health and pain management products.
Ms. Forte is responsible for leading Tufts Health Public Plans expansion efforts. Prior to her current position, she was vice president of care management for all Public Plans members.
As Director of Strategic Initiatives, Ms. Bowman oversees new social needs intervention initiatives among our clinical partners — including program design, resource database build-outs, and integration of Health Leads’ signature technology, Reach. Elise brings 10 years of direct service experience to her role, having previously served as a Health Leads program manager, a case manager for adults struggling with mental illness and homelessness, and in developing parent engagement initiatives in public education settings.
Mr. Johnson leads the Sage Consulting’s work for a number of public sector, corporate, non-profit and multi-employer clients. David brings particular expertise in evidence-based workplace wellness programs and leveraging Behavioral Economics principles in Human Resources Management. He is also an Adjunct Professor in the Department of Psychology at Towson University.
Dr. Wadhwa is a leader in building population health programs for vulnerable populations. He serves as the senior vice president of market innovation and is the chief health officer for Solera Health where he is focused on scaling the Diabetes Prevention Program as well as health-related, social support interventions. Previously, Sandeep held population health leadership positions with 3M and McKesson. He also served as the State Medicaid Director for Colorado under its former Governor. While there, he oversaw a $4 billion program and led the effort to implement an accountable care collaborative. Sandeep also serves on the board of Reinvestment Fund, a $1 billion non-profit, financial institute devoted to revitalizing low-income neighborhoods. Sandeep continues to see patients at the Seniors Clinic at the University of Colorado Hospital where he serves as associate clinical professor in the division of Geriatric Medicine.
Focused on the intersection of information technology, informatics, clinical medicine and innovation, Dr. Jain is VP and Chief Health Informatics Officer at IBM Watson Health. He was Co-Founder, Senior VP and Chief Medical Officer of Explorys, Inc. formed in 2009 based on innovations that he developed while at the Cleveland Clinic. In April 2015, Explorys was acquired by IBM as an integral component of the newly formed Watson Health business unit. In 2017, he was appointed by Congress to the Federal Health IT Advisory Committee established by the 21st Century Cures Act.
Ms. Maljanian is an accomplished senior executive with more than 25 years of experience in the health care industry. Rose’s leadership experience
John Haughton MD, MS