Population health management
Population health management involves analyzing and managing health data from diverse patient populations to improve health outcomes. This care coordination and delivery approach focuses on identifying health risks and needs, implementing tailored interventions, and coordinating care to enhance overall health while reducing healthcare costs and disparities.
Top Stories
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News
16 Sep 2026
High healthcare costs force chronically ill patients to skip care, meds
Around half of people with one or more chronic illnesses have skipped or delayed care in the past year, and for a third of them, it was due to high healthcare costs. Continue Reading
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10 Sep 2026
ARPA-H selects 6 teams for agentic cardiovascular AI program
ARPA-H awarded six contracts to develop autonomous AI agents that can adjust cardiac care plans without human cardiologist oversight as part of its ADVOCATE program. Continue Reading
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17 Jun 2021
Gateway Health Taps Population Health for Maternal Health Outcomes
1889 Jefferson Center for Population Health and Gateway Health Plan are partnering to improve maternal health outcomes. Continue Reading
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16 Jun 2021
AHA Study Shows US Lagging in Controlling High Blood Pressure
A new AHA study shows that the US population’s ability to control high blood pressure is wavering, with the rate of control falling by 7.5 percent from 2015 to 2018. Continue Reading
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10 Jun 2021
Health Disparities Tied to Gap in Rural, Urban Death Rates
Socioeconomic factors and rural health disparities are among the causes of the widening gap between rural and urban death rates in the US, a new study reveals. Continue Reading
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08 Jun 2021
COVID-19 Contact Tracing Had Little Impact on Population Health
Contact tracing had a minimal impact on population health and COVID-19 transmission, and two of three people were never reached for interviews, a new study found. Continue Reading
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03 Jun 2021
Racial Health Disparities Impact Mortality Rates After Brain Injury
Racial health disparities result in racial minorities being more than twice as likely to die during hospitalization for a traumatic brain injury, a recent report reveals. Continue Reading
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03 Jun 2021
Racial Disparities Impact Symptom Burden in Breast Cancer Patients
A study shows Black women reported lower levels of distress before chemotherapy than White women despite persistent racial disparities in breast cancer mortality. Continue Reading
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20 May 2021
Data Analytics Reveals Racial Disparities in COVID-19 Deaths
Data analytics uncover the true extent of racial disparities, revealing that research has underestimated the role of structural racism in COVID-19 deaths. Continue Reading
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19 May 2021
Social Determinants of Health Linked to Congenital Heart Disease
Hispanic ethnicity, rural residence, and lower socioeconomic status are among the social determinants of health that decrease the chances of prenatal detection of congenital heart disease. Continue Reading
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18 May 2021
Social Determinants of Health Tied to Premature Stroke Mortality
A recent study reveals premature stroke mortality disparities between US counties. Social determinants of health appear to be at the root of the problem. Continue Reading
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13 May 2021
Social Determinants Reveal Racial Disparities in Heart Disease Risk
High blood pressure, obesity, and socioeconomic factors may lead to racial disparities in heart disease risk. Experts call for an increase in preventative care and a closer look at social determinants of health. Continue Reading
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29 Mar 2021
City-Level Data Shows Stark Racial Disparities in Diabetes Deaths
An analysis of city-level data revealed that black Americans are dying from diabetes at higher rates than whites, representing significant racial disparities in chronic disease care. Continue Reading
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04 Mar 2021
Cardiovascular Disease Risk Factors High in Minority Populations
The rate of cardiovascular disease risk factors is very high among Hispanic and Latino people living in the US. Continue Reading
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25 Aug 2020
How an ACO, FQHC Model Leveraged Social Determinants of Health
Community Care Cooperative is using the ACO model for population health management and address patient’s social determinants of health. Continue Reading
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22 Jul 2020
Genetics, Cardiovascular Health Both Contribute to Dementia Risk
People with genetic risk factors for dementia can still reduce their risk by improving their cardiovascular health. Continue Reading
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Feature
03 Jan 2020
Providing Holistic Preventive Health with Advanced Primary Care
With team-based care, data analytics, and an alternative financing model, advanced primary care is creating the path to preventive health that treats the whole patient. Continue Reading
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Feature
09 Jul 2019
5 Successful Risk Scoring Tips to Improve Predictive Analytics
Strategies for successful risk scoring can improve predictive analytics and population health management. Continue Reading
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News
03 Jul 2019
MGH Study Links Socioeconomic Status and Cardiovascular Disease
A new study finds an association between socioeconomic status and cardiovascular risk. Continue Reading
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31 Oct 2018
Combating Chronic Disease through the Social Determinants of Health
Reducing the impact of chronic diseases will require payers and providers to get to the root causes of long-term illness, many of which are attributable to the social determinants of health. Continue Reading
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Feature
28 Aug 2018
How to Choose a Population Health Management Company
Choosing a population health management company requires organizations to clearly define their goals and thoroughly research the health IT market. Continue Reading
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News
23 Jan 2018
PCPs Lack Time, Tools to Address Social Determinants of Health
Family physicians are struggling to find the time to address social determinants of health, but the AAFP is offering new resources to help them. Continue Reading
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23 Oct 2017
For Opioids and Substance Abuse, Big Data Analytics Is Just the Beginning
Behavioral health providers are starting to leverage big data analytics to take on the substance abuse ravaging the country, but they need more than health IT to make a difference. Continue Reading
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05 Sep 2017
How Many Emergency Department Visits are Really Avoidable?
How much of a problem are avoidable emergency department visits for health systems looking to reduce unnecessary utilization? Continue Reading
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Feature
18 Aug 2017
What Are the Social Determinants of Population Health?
What are the social determinants of population health, and how can healthcare providers reduce the socioeconomic impacts of community disparities? Continue Reading
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24 Jul 2017
Gaps in Chronic Disease Care Leave Patients, Docs Frustrated
Patients and providers aren't exactly on the same page when it comes to chronic disease care, communication, and management. Continue Reading
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14 Jul 2017
Top 10 Challenges of Population Health Management
What are some of the most common challenges of population health management and how can healthcare providers overcome them? Continue Reading
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08 Jun 2017
Which Healthcare Data is Important for Population Health Management?
Effective population health management depends on accessing and analyzing certain types of healthcare data. Which are the most valuable for providers to use? Continue Reading
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Feature
16 Dec 2016
Using Risk Scores, Stratification for Population Health Management
Risk scores and risk stratification techniques are foundational for any successful population health management program. What are some of the considerations for developing this data? Continue Reading
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Feature
25 Aug 2016
How to Get Started with a Population Health Management Program
Starting with the basics is the key to developing a successful population health management program. Continue Reading
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03 May 2016
Identifying Care Disparities for Population Health Management
“If we are going to try to make meaningful impacts on population health management, we really do have to start to look at this.” Continue Reading
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18 Mar 2016
5 Ways to Turn Chronic Disease Management Knowledge into Action
Chronic disease management is one of the healthcare system's most challenging tasks. How can providers use innovative strategies to reduce spending and improve wellness? Continue Reading
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26 Feb 2015
Understanding the Basics of the Patient-Centered Medical Home
As population health management becomes increasingly important, what are the basics features and requirements of the patient-centered medical home? Continue Reading