ABSTRACT
Until the passage of the ACA [14] and the development of the Triple Aim framework [1], there had been no directive for physicians and health care systems to manage the health of any population (some of whose members may not even be actively engaged in care at the moment) and there had been no mandate to seriously control costs. In a fee-for-service
world, the system and the physicians are usually only paid for visits and procedures. With the arrival of the Triple Aim, BSWH and other health systems across the nation are being challenged to broaden their focus beyond improving the quality of care they deliver to patients to now include the two additional dimensions of the Triple Aim: improving the health of populations and reducing the per capita cost of health care.
