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Managing population health.

D A Kindig1

  • 1University of Wisconsin School of Medicine, Madison, USA.

Physician Executive
|August 5, 1997
PubMed
Summary
This summary is machine-generated.

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.

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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:

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  • 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.