ABSTRACT

This chapter describes four perspectives: patient, provider, payer, and population (4Ps) and discusses how population health management (PHM) and analytics impact performance improvement. It reviews literature and themes surrounding population health, explores its unique place as a healthcare delivery perspective, articulates its public health and data components, and explores population health improvement strategies. The first PHM program the payer initiates might involve a research organization. Incentives are necessary for not only members of PHM programs but also those providing the program. PHM seeks to increase utilization of low-cost care, such as preventative care, and decrease utilization of high-cost care, such as hospital admittance. PHM is most sustainable when programs cross organizational perspective with the use of care teams focusing on the wellness and chronic conditions of a population. Population health is anchored in public health, but will be advanced by quality management and analytical techniques.