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Population Health Management

Health Systems Must Prepare for the Operational Reality of Social Needs Screening

Since January 2024, Kentucky Medicaid has required SDOH screening not only in inpatient settings but across primary care clinics serving both adults and children. Simultaneously, the Centers for Medicare & Medicaid Services (CMS) has expanded expectations around health equity, patient engagement, and social needs tracking through its updated quality reporting programs.

Photo 94227568 | Healthcare © Pop Nukoonrat | Dreamstime.com

Predictive AI Is Advancing Faster Than Hospitals Are Ready to Act

AI-driven population health platforms promise to unlock the holy grail of healthcare operations: proactive, risk-adjusted care delivery that improves outcomes while controlling cost. But that promise is arriving faster than most health systems can implement, much less govern. Even as adoption accelerates across payers and providers, critical questions remain about usability, equity, and institutional readiness to act on what predictive models reveal.

Looking forward with intention: AI’s future is shaped by the choices we make in the present.

Population Health Data Strengthens Memorial Healthcare’s Fight Against Medication Non-Adherence

Memorial Healthcare System has launched a targeted population health initiative to address one of the most persistent and costly problems in U.S. care delivery: medication non-adherence.

Value-Based Care Is Finally Coming for Specialists

For over a decade, Medicare’s transition toward value-based reimbursement has primarily revolved around primary care physicians, care coordination infrastructure, and population health strategy. Models like the Medicare Shared Savings Program (MSSP) and ACO REACH have restructured incentives across thousands of organizations, but have left many high-volume specialists on the periphery.

Why Virtual Care Fails Without Governance and Accountability

Last week, Michael Dalton did not talk about telehealth adoption in aspirational terms. He laid out an operating model. The difference matters. In an industry saturated with short-cycle digital initiatives, Dalton’s argument was clear: virtual care is not a deployment, it is a redesign. And if health systems want to lead rather than lag, they must stop framing virtual care as a delivery channel and start governing it as infrastructure.

The Strategic Case for Rebuilding Population Health Through Digital Access

Healthcare leaders continue to treat virtual care as a product line, a convenience feature, or a downstream add-on to traditional services. This framing is not only operationally short-sighted, it is structurally unsustainable. In the absence of deeper integration and infrastructure-level design, virtual care will remain fractured, under-leveraged, and unequipped to support the demands of a population health-driven future.

Guidehealth and Emory Healthcare Announce Population Health Collaborative to Expand Primary Care Access Across Georgia

Emory Healthcare, Georgia’s most comprehensive academic health system, and Emory Healthcare Network, the health system’s clinically integrated network, announced a new population health collaborative (PHC) with Guidehealth, a nationally acclaimed, AI-enabled healthcare and value-based managed services company.

Henry Ford Health Launches New Company to Advance Population Health

Henry Ford Health has launched a new subsidiary dedicated to advancing population health.

Humana and Google Expand Partnership to Help Reduce Cost of Care and Improve Member Experiences

Humana, a leading health and well-being company, announced a new multi-year agreement with Google Cloud to further modernize Humana’s cloud infrastructure and leverage cutting-edge AI capabilities to accelerate innovation in healthcare.

AHIP, AMA, NAACOS Release Playbook on Sustainable Future for Value-Based Care

AHIP, the American Medical Association (AMA), and the National Association of ACOs (NAACOS) announced the release of data sharing best practices that organizations may voluntarily adopt to support a sustainable future for value-based care (VBC). The playbook, The Future of Sustainable Value-Based Care and Payment: Voluntary Best Practices to Advance Data Sharing, is intended to advance the adoption of VBC arrangements in the private sector that could have a greater impact on the quality and equity of care and ease participation by fostering voluntary alignment of data sharing practices.

HIMSS Calls for Modest Implementation Deadline Delay for New Requirement in ONC Certification Proposed Rule

HIMSS recommended a modest delay in the implementing and reporting timeline for the sweeping changes proposed by the Office of the National Coordinator’s (ONC) Health Information Technology (IT) Certification Program.

VCU Announces New School of Population Health

Virginia Commonwealth University announced the creation of a dedicated School of Population Health, the 15th school or college belonging to its academic enterprise.

Walmart and CareSource Enter Agreement to Address Health Disparities

Walmart and CareSource, a nonprofit, nationally recognized managed care organization, announced today it has entered into a unique agreement, to address racial health inequities.

Graduate Program in Population and Health Systems Management Receives Award for Innovation in Education

The Master in Population and Health Systems Management program (MPHSM) created by Boise State University and the Healthcare Financial Management Association (HFMA) has been named as the 2023 recipient of the prestigious CAHME/George and Regi Herzlinger Innovation Education Award.

20 Ontario Hospitals Transition to MEDITECH Expanse as Members of the ONE Shared Service Organization

Twenty-three hospitals in northeastern Ontario are creating a single electronic health information system to improve the delivery of safe, evidence-based patient-centered care. Three of the hospitals, Sault Area Hospital, North Bay Regional Health Centre, and West Parry Sound Health Centre, went LIVE with the MEDITECH Expanse-based ONE health information system (HIS) in 2019 with the other twenty hospitals now transitioning to the same system.