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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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PageR13
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Challenging Times: Insights from Key Domains: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26143.
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Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Alina B. Baciu, Rapporteur Roundtable on Population Health Improvement Board on Population Health and Public Health Practice Health and Medicine Division PREPUBLICATION COPY—Uncorrected Proofs

THE NATIONAL ACADEMIES PRESS   500 Fifth Street, NW   Washington, DC 20001 This activity was supported by contracts between the National Academy of Sci- ences and the Association of American Medical Colleges, Aetna Foundation, Blue Cross Blue Shield of North Carolina, Blue Shield of California Foundation, The California Endowment, Geisinger, Jefferson University, The Kresge Founda- tion, National Association of County and City Health Officials, Nemours, New York State Health Foundation, The Rippel Foundation, Robert Wood Johnson Foundation, Samueli Foundation, The University of Texas at Austin, and Wake Forest Baptist Health. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organiza- tion or agency that provided support for the project. International Standard Book Number-13: 978-0-309-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X Digital Object Identifier: https://doi.org/10.17226/26143 Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu. Copyright 2021 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2021. Population health in challenging times: Insights from key domains: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi. org/10.17226/26143. PREPUBLICATION COPY—Uncorrected Proofs

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institu- tion to advise the nation on issues related to science and ­technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the char- ter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president. The National Academy of Medicine (formerly the Institute of Medicine) was estab­lished in 1970 under the charter of the National Academy of ­Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president. The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and ­ ­advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in ­matters of science, engineering, and medicine. Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org. PREPUBLICATION COPY—Uncorrected Proofs

Consensus Study Reports published by the National Academies of Sciences, Engi­neering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typi- cally include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task. Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opin- ions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies. For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo. PREPUBLICATION COPY—Uncorrected Proofs

PLANNING COMMITTEE ON POPULATION HEALTH IN CHALLENGING TIMES: INSIGHTS FROM KEY DOMAINS1 SANNE MAGNAN (Chair), Senior Fellow, HealthPartners Institute JOHN AUERBACH, Executive Director, Trust for America’s Health BOBBY MILSTEIN, Director, ReThink Health LOURDES J. RODRIGUEZ, Senior Program Officer, St. David’s Foundation 1 The planning committee’s role was limited to planning the workshop, and the Proceed- ings of a Workshop was prepared by the workshop rapporteur as a factual summary of what occurred at the workshop. Statements, recommendations, and opinions expressed are those of individual presenters and participants, and are not necessarily endorsed or verified by the National Academies of Sciences, Engineering, and Medicine, and they should not be construed as reflecting any group consensus. v PREPUBLICATION COPY—Uncorrected Proofs

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ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1 SANNE MAGNAN (Co-Chair), Senior Fellow, HealthPartners Institute JOSHUA M. SHARFSTEIN (Co-Chair), Vice Dean for Public Health Practice and Community Engagement, Professor of the Practice, Johns Hopkins Bloomberg School of Public Health PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges DAWN ALLEY, Chief Strategy Officer, Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Services JOHN AUERBACH, Executive Director, Trust for America’s Health CATHY BAASE, Chair, Board of Directors, Michigan Health Improvement Alliance; Consultant for Health Strategy, The Dow Chemical Company RAYMOND BAXTER, Trustee, Blue Shield of California Foundation DEBBIE I. CHANG, President and Chief Executive Officer, Blue Shield of California Foundation ALLISON GERTEL-ROSENBERG, Operational Vice President, National Policy and Practice, Nemours MARC N. GOUREVITCH, Professor and Chair, Department of Population Health, New York University Langone Health MARGARET GUERIN-CALVERT, Senior Managing Director and President, Center for Healthcare, Economics and Policy, FTI Consulting GARTH GRAHAM, President, Aetna Foundation GARY R. GUNDERSON, Vice President, Faith Health, School of Divinity, Wake Forest University DORA HUGHES, Associate Research Professor of Health Policy and Management, Milken Institute School of Public Health, The George Washington University SHERI JOHNSON, Director, Population Health Institute; Acting Director, Robert Wood Johnson Foundation Culture of Health Prize; Associate Professor, Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin– Madison WAYNE JONAS, Executive Director, Integrative Health Programs, H&S Ventures, Samueli Foundation 1 The National Academies of Sciences, Engineering, and Medicines planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speak- ers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution. vii PREPUBLICATION COPY—Uncorrected Proofs

ROBERT M. KAPLAN, Professor, Center for Advanced Study in the Behavioral Sciences, Stanford University MICHELLE LARKIN, Associate Vice President, Associate Chief of Staff, Robert Wood Johnson Foundation MILTON LITTLE, President, United Way of Greater Atlanta PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation BOBBY MILSTEIN, Director, ReThink Health JOSÉ T. MONTERO, Director, Office for State, Tribal, Local and Territorial Support; Deputy Director, Centers for Disease Control and Prevention WILLIE OGLESBY, Interim Dean, College of Population Health, Jefferson University JASON PURNELL, Associate Professor and Director of Health Equity Works, Brown School, Washington University in Saint Louis RAHUL RAJKUMAR, Senior Vice President and Chief Medical Officer, Blue Cross Blue Shield of North Carolina LOURDES J. RODRIGUEZ, Senior Program Officer, St. David’s Foundation PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation KOSALI SIMON, Herman B. Wells Endowed Professor, Associate Vice Provost for Health Sciences, Paul H. O’Neill School of Public and Environmental Affairs, Indiana University HANH CAO YU, Chief Learning Officer, The California Endowment Health and Medicine Division Staff ALINA BACIU, Roundtable Director CARLA ALVARADO, Program Officer (until January 2021) HARIKA DYER, Senior Program Assistant ROSE M. MARTINEZ, Senior Board Director viii PREPUBLICATION COPY—Uncorrected Proofs

Reviewers This Proceedings of a Workshop was reviewed in draft form by indi- viduals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineer- ing, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review com- ments and draft manuscript remain confidential to protect the integrity of the process. We thank the following individuals for their review of this proceedings: RAYMOND BAXTER, Blue Shield of California Foundation ALEXANDRA BEATTY, National Academies of Sciences, Engineering, and Medicine MARGARET GUERIN-CALVERT, FTI Consulting Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by GEORGE J. ISHAM, Health- Partners Institute. He was responsible for making certain that an indepen- dent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies. ix PREPUBLICATION COPY—Uncorrected Proofs

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Contents ACRONYMS AND ABBREVIATIONS xiii 1 INTRODUCTION 1 2 ACADEMIC PUBLIC HEALTH AND POPULATION HEALTH 5 3 SOCIAL SECTOR 13 4 THE HEALTH CARE RESPONSE 21 5 PUBLIC HEALTH 29 6 TRANSFORMING PHILANTHROPY 37 7 INSIGHTS AND STRATEGIES FROM CROSS-SECTOR THINKERS 45 APPENDIXES A References 53 B Workshop Agenda 55 C Speaker and Planning Committee Member Biosketches 59 xi PREPUBLICATION COPY—Uncorrected Proofs

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Acronyms and Abbreviations AAMC Association of American Medical Colleges CARES Act 2020 Coronavirus Aid, Relief, and Economic Security Act CDC Centers for Disease Control and Prevention CHW community health worker CMS Centers for Medicare & Medicaid Services ESG environmental, social, and governance FQHC federally qualified health center GHPC Georgia Health Policy Center HHS U.S. Department of Health and Human Services NQF National Quality Forum NYU New York University PRI program-related investment SNAP Supplemental Nutrition Assistance Program UCSF University of California, San Francisco xiii PREPUBLICATION COPY—Uncorrected Proofs

xiv ACRONYMS AND ABBREVIATIONS WE in the World Well-being and Equity in the World WIN Well Being In the Nation PREPUBLICATION COPY—Uncorrected Proofs

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The year 2020 presented extraordinary challenges to organizations working to improve population health - from public health agencies at all levels of government to health systems to community-based non-profit organizations responding to health-related social needs. To improve understanding of how different domains in the population health field are responding to and being changed by two major crises (racial injustice and the COVID-19 pandemic), the Roundtable on Population Health Improvement of the National Academies of Sciences, Engineering, and Medicine held a workshop from September 21-24, 2020, titled Population Health in Challenging Times: Insights from Key Domains. The workshop had sessions organized by themes: academic public health and population health; the social sector; health care, governmental public health; philanthropy; and cross-sector work. Each panel discussion highlighted difficulties and opportunities, both internal to the respective institutions and sectors, and at the interface with peers and partners, especially communities. This publication summarizes the presentations and panel discussions from the workshop.

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