population health & value-based care

Introduction

Value-based care seems a central concept in population health & population health is a central concept of health care.

Epidemiology

• health in the United States has improved from 1990 to 2016
• in 5 states, the probability of death between ages 20-55 years has increased > 10% from 1990-2016
• Hawaii ranks first in life expectancy at birth (2016), with Mississippi last (81.3 vs 74.7 years)

Management

• body-mass index, smoking, & fasting glucose are the most important mortality risks

Notes

• disparities in population life-expectancy by income & geography
• strong buy-in by organizational leadership of integrating genome sequence data into health care may ultimately lead to improvements in population health
• improving care coordination between hospitals & alternate care settings reduces overall cost
• the patient-centered medical home & accountable care organizations reduce duplication of services & unnecessary hospitalizations without directly cutting costs
• cost control without compromising access to care

• reconciling with precision medicine
  • an increasing number of health systems initiating clinical genome sequencing programs in comparatively unselected populations might be leveraged to simultaneously conduct discovery, outcomes, & implementation research

More general terms

• public health

Additional terms

• health care
• Medicare Access & CHIP Reauthorization Act (MACRA)