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6 Implications of New and Emerging Sources of Population Health Funding
Pages 45-50

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From page 45...
... Hester commented that when the organizing committee was developing the workshop agenda, its members wanted to provide a sense of the innovative financing vehicles that are being developed to support population health initiatives. With that in mind, the committee decided to focus on three specific financing schemes, but the committee recognized, he said, that there are other promising approaches being developed and tested.
From page 46...
... In addition to program management skills, the organization serving as an integrator would need to possess fairly sophisticated broker and financial management capabilities so as to be able to conduct and sponsor feasibility studies, identify the potential partners that could do the execution, and identify an appropriate financing vehicle with a risk profile and time horizon that matched with the intervention. Hester said that there are prototypes for this type of organization, including the Rippel Foundation's ReThink Health, which works with communities in places such as Pueblo, Colorado, to help them develop leadership and redesign their health and health care systems.1 Another is the Robert Wood Johnson Foundation's Aligning Forces for Quality program, which involves 16 communities in creating models of reform for the reduction of racial and ethnic disparities and the improvement of health and health care.2 Hester concluded his comments by saying that it is important for the field to clearly define this integrator role in the near future.
From page 47...
... In that role, Levi said, it is possible that public health agencies would not actually collect data because the health care delivery system generates far more data than public health agencies would ever be able to collect; instead, the agencies would take on the role of analyzing the data and creating the health impact assessments that can be used to drive a community's efforts. Filling this role will require becoming comfortable with some level of accountability without necessarily having line responsibility, which Levi acknowledged will be a little scary.
From page 48...
... In his own summary remarks, workshop planning committee co-chair George Isham noted that while philanthropic and public pilot funds are crucial for testing, developing, and aligning interventions, public health agencies need a dependable long-term revenue stream to undertake the kinds of initiatives that are needed to improve population health and realize cost savings. Isham said it should be possible to change the waste reduction paradigm from one of taking resources away from the different parts of the health system to one of incentivizing progress through shared savings opportunities.
From page 49...
... Finally, Dugger acknowledged that his world of finance is unfamiliar with the world of governmental public health agencies and said that this means there is an opportunity for further discussion and intersection. With no further comments or questions, Isham adjourned the workshop.

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