Population Health : An Implementation Guide to Improve Outcomes and Lower Costs book cover
1st Edition

Population Health
An Implementation Guide to Improve Outcomes and Lower Costs

ISBN 9781498705554
Published November 18, 2015 by Productivity Press
296 Pages 101 B/W Illustrations

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Book Description

As healthcare moves from volume to value, payment models and delivery systems will need to change their focus from the individual patient to a population orientation. This will move our economic model from that of a "sick system" to a system of care focused on prevention, boosting patient engagement, and reducing medical expenditures. This new focus will shift traditional financial accountability from the payer model to provider directed models.

Population Health: An Implementation Guide to Improve Outcomes and Lower Costs
covers not only the rationale for this transition, but also outlines successful practice models that are built to thrive in these new market dynamics. Besides the philosophical and the cultural aspects of these new models, it details the implementation and strategic initiatives required to succeed in today’s value- and population-oriented healthcare environment.

Describing what population health is, the book explains why it represents an opportunity for healthcare delivery systems, public health agencies, community-based organizations, and other entities to work together to improve health outcomes in the communities they serve.

The book clarifies how the new models will impact healthcare providers, how to manage populations, and how to handle the risk factors involved. It details new delivery models, such as primary care and medical neighborhoods, and outlines the value proposition of screening and prevention in assigned populations.

Table of Contents

What is Population Health? Why Population Health Now? The Care Continuum. Managing Population. Patient-Centered Medical Home and Its Brethren: New Care Delivery Models. The Value Proposition for Prevention and Screening. Big Data Enables Population Health. Managed Care and Payer Models. Physician Compensation Models. Technology and Decision Support. Patient Engagement. Population Health, Healthcare Disparities & Policy. Case Studies: Adventist Health Network Begins Transition from Volume to Value. One ACO's Journey to Comprehensive - Connected - Continuous Care. Launching Population Health Program in 12 Months. An Inter-Professional Approach to Improving Care Coordination. Cigna Collaborative Care. Patient-Centered Medical Home. The Future of Healthcare Delivery.

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Dr. George Mayzell is the senior chief medical officer and chief clinical integration officer for Adventist Midwest Health. He joined the organization in January 2013, after serving as CEO of Health Choice and Senior Vice President of Methodist Le Bonheur Healthcare in Memphis, Tennessee.

Dr. Mayzell has more than 30 years of experience in medicine and is a board certified internist and geriatrician. He received his medical degree from the University of Medicine and Dentistry of New Jersey and his MBA from Jacksonville University.

He previously served as senior medical director of managed care for the University of Florida and Shands Hospital. He spent more than 10 years with Blue Cross Blue Shield of Florida, working as regional medical director for care and quality and corporate managing medical director for pharmacy and care. Additionally, he has more than 10 years of practice experience.

Mayzell has co-authored two books, Leveraging Lean in Healthcare and Physician Alignment: Constructing Viable Roadmaps for the Future.