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Academic medical centers are transforming to manage population health under value-based care. Oregon Health & Science University

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Area of Science:

  • Healthcare transformation
  • Population health management
  • Value-based care models

Background:

  • The U.S. healthcare system is shifting towards value-based care, emphasizing the Triple Aim (quality, cost, patient experience).
  • Clinical delivery systems are increasingly responsible for financial risk and longitudinal patient care.
  • Academic medical centers (AMCs) face challenges in adapting to these new demands for population health management.

Purpose of the Study:

  • To describe the strategic transformation of Oregon Health & Science University (OHSU) towards population health management.
  • To outline the formation and goals of the Propel Health collaborative partnership.

Main Methods:

  • OHSU partnered with a health insurer and six hospitals to form Propel Health in 2013.
  • Developed internal structures and transformed the business model to support value-based care.
  • Included employees and dependents in the initial plan, covering approximately 55,000 individuals.

Main Results:

  • Propel Health aims to provide tools, methods, and support for population health management.
  • Expected to cover 110,000 individuals by 2017.
  • Future outcomes will measure quality and cost of care within the partnership.

Conclusions:

  • AMCs must commit to population health improvement despite challenges like network limitations and competition.
  • The transformation to value-based care presents an opportunity for AMCs to redefine their role.