Transitioning From Volume to Value

One Academic Medical Center’s Approach to Improving Population Health

Stephanie Halvorson, Mary E. Tanski, Thomas Yackel

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

PROBLEM: The U.S. health care system is undergoing a major transformation. Clinical delivery systems are now being paid according to the value of the care they provide, in accordance with the Triple Aim, which incorporates improving the quality and cost of care and the patient experience. Increasingly, financial risk is being transferred from insurers to clinical delivery systems that become responsible for both episode-based clinical care and the longitudinal care of patients. Thus, these delivery systems need to develop strategies to manage the health of populations. Academic medical centers (AMCs) serve a unique role in many markets yet may be ill prepared for this transformation. APPROACH: In 2013, Oregon Health & Science University (OHSU) partnered with a large health insurer and six other hospitals across the state to form Propel Health, a collaborative partnership designed to deliver the tools, methods, and support necessary for population health management. OHSU also developed new internal structures and transformed its business model to embrace this value-based care model. OUTCOMES: Each Propel Health partner included the employees and dependents enrolled in its employee medical plan, for approximately 55,000 covered individuals initially. By 2017, Propel Health is expected to cover 110,000 individuals. Other outcomes to measure in the future include the quality and cost of care provided under this partnership. NEXT STEPS: Anticipated challenges to overcome include insufficient primary care networks, conflicting incentives, local competition, and the magnitude of the transformation. Still, the time is right for AMCs to commit to improving the health of populations.

Original languageEnglish (US)
JournalAcademic Medicine
DOIs
StateAccepted/In press - Dec 20 2016

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Health
health
Population
Values
Insurance Carriers
Quality of Health Care
employee
Costs and Cost Analysis
State Hospitals
costs
health promotion
Motivation
incentive
Primary Health Care
Patient Care
health care
Outcome Assessment (Health Care)
Delivery of Health Care
market
science

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Transitioning From Volume to Value : One Academic Medical Center’s Approach to Improving Population Health. / Halvorson, Stephanie; Tanski, Mary E.; Yackel, Thomas.

In: Academic Medicine, 20.12.2016.

Research output: Contribution to journalArticle

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