CHA News Article

CHA Podcast Series Examines Risk in Population Health Management
Master PHM one week at a time with CHA podcasts, briefs

This week’s installment of CHA’s Population Health Management Snapshot series focuses on types of risk assumed by hospitals and health systems under PHM, including provider risk and insurance risk. Due to federal and state legislation that encouraged risk-based models, California has a long track record of providing “managed” health care that is more efficient and coordinated than what occurs in the rest of the nation. Historically, large physician organizations and integrated health plans have been the primary organizers in this model, with hospitals and health systems forming part of their networks under fee-for-service arrangements. Under this model, physicians and other provider organizations are rewarded for efficient and effective care delivery — particularly the active management of chronic disease and reduction of unnecessary utilization, consistent with PHM goals.

Podcast: Types of Risk Assumed by Hospitals and Health Systems Under PHM (9 min)

As hospital leaders respond to today’s changing health care environment, these key components of population health management will help them develop their unique paths forward. CHA’s PHM Snapshot series, which includes weekly podcasts and accompanying one-page briefs, is intended to ensure members have the tools they need as they assume more responsibility in transforming how care is delivered, coordinated and paid for. More information about PHM, along with previous podcasts and resources, is available on CHA’s dedicated web page.