Improving the Health of Individuals and Communities
We use a population health model to improve the health of our members and their communities, address public health priorities, and advance health equity.
Our approach to population health management is built on an understanding of multiple factors (social, economic, familial, cultural, and physical environment) and how these influence health conditions, health-related behaviors, and health outcomes among members in different geographic locations and diverse demographic groups.
Our population health model encompasses:
- Targeted clinical programs based on analytics identifying member needs and opportunities.
- Member engagement strategies ranging from prevention to person-centered care plans for chronic and complex clinical conditions.
- Community partnerships to address a range of health and psychosocial issues from opioid use to tobacco cessation to obesity and nutrition.
- Robust data informatics that include predictive modeling and social determinants of health.
- Integrated care management that cares for the individual holistically and in coordination with our network of providers and community based organizations.
- An unwavering focus on quality not only for member interventions but provider education and incentives that promote value-based care.
- Community and State level policy support to advance clinical and social system redesign and provider engagement.