BUILDING SUSTAINABLE
FINANCING STRUCTURES
for POPULATION HEALTH
Insights from Non-Health Sectors
PROCEEDINGS OF A WORKSHOP
Theresa Wizemann, Rapporteur
Roundtable on Population Health Improvement
Board on Population Health and Public Health Practice
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation, The California Endowment (#10002009), Fannie E. Rippel Foundation, Health Resources and Services Administration (DHHS-10002817), New York State Health Foundation (#10001272), and Robert Wood Johnson Foundation (#10001270). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-45880-1
International Standard Book Number-10: 0-309-45880-3
Digital Object Identifier: https://doi.org/10.17226/24760
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Copyright 2018 by the National Academy of Sciences. All rights reserved.
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Building sustainable financing structures for population health: Insights from non-health sectors: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24760.
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PLANNING COMMITTEE ON BUILDING SUSTAINABLE FINANCING STRUCTURES FOR POPULATION HEALTH1
PAMELA RUSSO (Chair), Senior Program Officer, Robert Wood Johnson Foundation
CARTER BLAKEY, Deputy Director, Office of Disease Prevention and Health Promotion and Director, Division of Community Strategies, U.S. Department of Health and Human Services
ALEX BLANDFORD, Deputy Program Director, Behavioral Health, Justice Center, Council on State Governments
DENISE FAIRCHILD, President and Chief Executive Officer, Emerald Cities Collaborative
GARY GUNDERSON, Vice President for Faith and Health, Professor of Public Health Sciences, Wake Forest Baptist Medical Center, and Professor of Religion and the Health of the Public, Wake Forest University School of Divinity
JIM KNICKMAN, Derzon Clinical Professor, Robert F. Wagner Graduate School of Public Service, New York University School of Medicine
BOBBY MILSTEIN, Director, ReThink Health
CHRISTOPHER PARKER, Associate Project Director, Georgia Health Policy Center
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
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ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1
GEORGE J. ISHAM (Co-Chair), Senior Advisor, HealthPartners, and Senior Fellow, HealthPartners Institute for Education and Research
SANNE MAGNAN (Co-Chair), former President and Chief Executive Officer, Institute for Clinical Systems Improvement
TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health
JOHN AUERBACH, Associate Director for Policy, Centers for Disease Control and Prevention, and Acting Director, Office for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention
CATHERINE BAASE, Global Director of Health Services, The Dow Chemical Company
RAYMOND J. BAXTER, Senior Vice President, Community Benefit, Research and Health Policy, Kaiser Permanente and President, Kaiser Permanente International
RAPHAEL BOSTIC, Professor and Judith and John Bedrosian Chair in Governance and Public Enterprise, Sol Price School of Public Policy, University of Southern California
DEBBIE I. CHANG, Vice President, Policy and Prevention, Nemours
CHARLES J. FAZIO, Senior Vice President and Medical Director, HealthPartners
GEORGE R. FLORES, Program Manager, The California Endowment
ALAN GILBERT, Director, Global Government and NGO Strategy, GE Healthymagination
MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County
MARTHE R. GOLD, Visiting Scholar, The New York Academy of Medicine
GARTH GRAHAM, President, Aetna Foundation
GARY GUNDERSON, Vice President for Faith and Health, Professor of Public Health Sciences, Wake Forest Baptist Medical Center, and Professor of Religion and the Health of the Public, Wake Forest University School of Divinity
ROBERT M. KAPLAN, Chief Science Officer, Agency for Healthcare Research and Quality
DAVID A. KINDIG (Co-Chair Emeritus), Professor Emeritus and Emeritus Vice Chancellor, University of Wisconsin School of Medicine and Public Health
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
JAMES KNICKMAN, Derzon Clinical Professor, Robert F. Wagner Graduate School of Public Service, New York University School of Medicine
PAULA LANTZ, Professor and Associate Dean for Research and Policy Engagement, Gerald R. Ford School of Public Policy, University of Michigan
MICHELLE LARKIN, Assistant Vice President, Program Portfolios, Robert Wood Johnson Foundation
THOMAS A. LaVEIST, Professor and Chair, Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University
JEFFREY LEVI, Professor, Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University
SARAH R. LINDE, Rear Admiral, U.S. Public Health Service, Chief Public Health Officer, Health Resources and Services Administration
PHYLLIS D. MEADOWS, Senior Fellow, The Kresge Foundation, and Associate Dean for Practice and Clinical Professor, School of Public Health, University of Michigan
BOBBY MILSTEIN, Director, ReThink Health
JOSÉ T. MONTERO, Vice President of Population Health and Health Systems Integration, Cheshire Medical Center/Dartmouth Hitchcock Keene
MARY PITTMAN, President and Chief Executive Officer, Public Health Institute
PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation
DAVID SANDMAN, President and Chief Executive Officer, New York State Health Foundation
Health and Medicine Division Staff
ALINA BACIU, Study Director
COLIN FINK, Senior Program Assistant (until February 2017)
DARLA THOMPSON, Program Officer
ROSE MARIE MARTINEZ, Senior Board Director, Board on Population Health and Public Health Practice
Consultant
THERESA WIZEMANN, Rapporteur
Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by NED CALONGE, The Colorado Trust. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.
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4 CASE EXAMPLE 2: CLEAN ENERGY FINANCING
Financing Affordable Properties
Inclusive Financing for Distributed Clean Energy Solutions
5 REALIGNING RESOURCES FOR POPULATION HEALTH: SMALL GROUP CONVERSATIONS
Setting the Context for Discussion
Addressing the Political Determinants of Health
Acronyms and Abbreviations
ACO | accountable care organization |
BUILD | Bold, Upstream, Integrated, Local, Data-driven |
CAA | Clean Air Act |
CARB | California Air Resources Board |
CBS | community-based service |
CHIP | Children’s Health Insurance Program |
COWS | Center on Wisconsin Strategy |
CVS | CVS Pharmacy |
EBP | evidence-based practice |
GDP | gross domestic product |
HUD | U.S. Department of Housing and Urban Development |
IEA | International Energy Agency |
MACRA | Medicare Access and CHIP Reauthorization Act of 2015 |
NHT | National Housing Trust |
O.R. | own recognizance |
PAYS® | Pay As You Save® |
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