Purchasing Population Health: The Search for Value

Health care purchasers are moving toward value-driven systems of service delivery and payment, as evidenced by current strategies of Medicaid, Medicare, health plans, and employers. Generally speaking, purchasers are challenging providers to advance the ‘triple aim‘ of better health, better care, and lower per capita costs. The emerging framework for meeting this challenge is population health management focused on clinical excellence and community health improvement. The challenge is to prove this value with data, and communicate it with clarity.

Scan the resources below for evidence and insight on the trend toward value-driven health care.

The Triple Aim	Institute for Healthcare Improvement Triple Aim Framework
Medicaid Strategies	2014 Managed Care Annual Report NCQA Medicaid Managed Care Toolkit Virginia Medicaid Innovation and Reform Strategy CMS Medicaid Innovation Strategy Commonwealth Coordinated Care DMAS Behavioral Health Services Page
Medicare Strategies	CMS Medicare Innovation Strategy Medicare ACO Quality Metrics
Health Plan Strategies	Anthem Program Description for Patient Centered Primary Care Programs
Employer Strategies	The Patient Centered Primary Care Collaborative Patient Centered Medical Home Metrics for Employers Catalyst for Payment Reform
Responsive Models	A Population Health Guide for Primary Care Models (2012)The Chronic Care Model The Patient Centered Medical Home Integrated Behavioral Health Integrated Oral Health The Medical Neighborhood The Community-Centered Health Home Accountable Care Organizations Accountable Care Communities Managing Populations, Maximizing Technology Meaningul Use / EHR Increasing EHR Use for Quality Improvement in Community Health Centers: The Role of Networks (2011) The Advance Network: Acclerating Data Value Across a National Community Health Center Network (2014)