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Published on: July 4, 2007
Managing population health
1University of Wisconsin School of Medicine, Madison, USA.
Physician Executive
|August 5, 1997
Summary
Rewarding improved Health Adjusted Life Expectancy (HALE) requires shifting from fee-for-service to outcome-based payments. This approach integrates medical care with non-medical health determinants for better population health management.
Area of Science:
- Health economics
- Public health policy
- Outcome measurement
Background:
- Traditional fee-for-service models do not incentivize improved population health outcomes.
- Growing experience in population health management necessitates new reward structures.
Purpose of the Study:
- To propose the incorporation of Health Adjusted Life Expectancy (HALE) as a uniform health outcomes measurement.
- To outline a phased approach for integrating HALE into healthcare purchasing and non-medical determinants of health.
Main Methods:
- Describing a three-phase implementation strategy for HALE adoption.
- Identifying key stakeholders including public/private purchasers and non-medical health sectors.
Main Results:
- Phase One (1997-2000): Focused on debate, acceptance, and research regarding HALE.
- Phase Two (2001-2010): Proposed outcome-based payments for integrated health delivery systems.
- Phase Three (2011-2020): Envisioned the incorporation of non-medical determinants of health.
Conclusions:
- HALE offers a standardized metric for rewarding population health improvements.
- Successful implementation requires alignment of financial incentives with health outcomes across medical and non-medical sectors.
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