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This activity was supported by contracts between the National Academy of Sciences and the Association of American Medical Colleges, Blue Cross Blue Shield of North Carolina, Blue Shield of California Foundation, Fannie Rippel Foundation, Jefferson University, Kresge Foundation, Nemours, Robert Wood Johnson Foundation, Saint David Foundation, Samueli Foundation, and The California Endowment. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-71073-2
International Standard Book Number-10: 0-309-71073-1
Digital Object Identifier: https://doi.org/10.17226/27258

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2023. Population health funding and accountability to community: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/27258.

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PLANNING COMMITTEE ON POPULATION HEALTH FUNDING AND ACCOUNTABILITY TO COMMUNITY¹

JANET HEINRICH, Research Professor, George Washington University

MARC N. GOUREVITCH, Muriel and George Singer Professor and Founding Chair, Department of Population Health at New York University Langone Health

HILARY HEISHMAN, Senior Program Officer, Robert Wood Johnson Foundation

DORA HUGHES, Chief Medical Officer, CMS Innovation Center at the Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services

JOHN R. LUMPKIN, President, Blue Cross Blue Shield of North Carolina Foundation

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT¹

RAYMOND BAXTER (Co-chair), Trustee, Blue Shield of California Foundation, San Francisco, CA

ANA V. DIEZ ROUX (Co-chair), Dana and David Dornsife Dean and Distinguished University Professor of Epidemiology, Dornsife School of Public Health, Drexel University, Philadelphia, PA

PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges, Washington, DC

DEBBIE I. CHANG, President and Chief Executive Officer, Blue Shield of California Foundation, San Francisco, CA MARC N. GOUREVITCH, Professor and Chair, Department of Population Health, NYU School of Medicine, New York, NY

MEG GUERIN-CALVERT, Senior Managing Director and President, Center for Healthcare Economics and Policy, FTI Consulting, Washington, DC

HILARY HEISHMAN, Senior Program Officer, Robert Wood Johnson Foundation, Princeton, NJ

DORA HUGHES, Associate Research Professor of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC

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, Alexandria, VA

ROBERT M. KAPLAN, Professor, Center for Advanced Study in the Behavioral Sciences, Stanford University, Stanford, CA

MILTON LITTLE, President, United Way of Greater Atlanta, GA

PHYLLIS D. MEADOWS, Senior Fellow, Health Program, Kresge Foundation, Troy, MI

BOBBY MILSTEIN, Director, ReThink Health, Morristown, NJ

JOSÉ T. MONTERO, Director, Center for State, Tribal, Local, and Territorial Support; Deputy Director, Centers for Disease Control and Prevention, Atlanta, GA

WILLIE OGLESBY, Interim Dean, College of Population Health, Jefferson University, Philadelphia, PA

JASON PURNELL, Vice President, Community Health Improvement, BJC HealthCare; Associate Professor, Brown School, Washington University in St. Louis, MO

LOURDES J. RODRÍGUEZ, Senior Program Officer, St. David’s Foundation, Austin, TX

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, Bloomington, IN

KARA ODOM WALKER, Senior Vice President and Chief Population Health Officer, Nemours Children’s Health, Washington, DC

TERRY WILLIAMS, Executive Vice President and Chief Population, Corporate and Government Affairs Officer, Atrium Health, Winston-Salem, NC

HANH CAO YU, Chief Learning Officer, The California Endowment, Oakland, CA

Health and Medicine Division Staff

ALINA BACIU, Roundtable Director

MAGGIE ANDERSON, Research Assistant

ALEXANDRA ANDRADA, Program Officer

AYSHIA COLETRANE, Senior Program Assistant (through July 2023)

STEPHANIE PUWALSKI, Research Associate (from April 2023)

ROSE M. MARTINEZ, Senior Board Director

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals 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, Engineering, 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 comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

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 independent 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 rapporteurs and the National Academies.

Contents

ACRONYMS AND ABBREVIATIONS

1 INTRODUCTION

Workshop Overview

Organization of the Proceedings

2 CONTEXT AND OVERVIEW

Audience Discussion

3 PROGRESS IN POPULATION HEALTH AND HEALTH EQUITY FUNDING

Qualities of the Highest-Performing Health Centers

Audience Discussion

4 EMERGING CHALLENGES AND OPPORTUNITIES

Audience Discussion

5 RESEARCH AND EVALUATION

Audience Discussion

6 FINAL REFLECTIONS

APPENDIXES

A References

B Speaker and Planning Committee Member Biosketches

C Workshop Agenda

D Readings and Resources

Acronyms and Abbreviations