On October 30th, 2018, NCQA hosted a webinar showcasing the recently published Population Health Management Resource Guide. The guide is a practical tool for health plans seeking to incorporate population health management principles into their organization.
The slides from the webinar can be downloaded here: PHM Guide Webinar Slides.
As health care expenditures continue to rise, the federal government, states, health plans and other stakeholders have begun to shift focus from a traditional fee-for-service payment model toward payments based on quality and value-based payment arrangements. The PHM Resource Guide is intended to act as a reference for health plans seeking to create a population health management strategy.
As of 2018, Health Plan Accreditation includes a new category of standards- Population Health Management. This category evaluates a health plan’s comprehensive strategy for addressing members’ needs across the care continuum.
The PHM Resource Guide is a supplemental guide intended to help health plans and other stakeholders to better understand the concepts of population health management and provide examples of executing population health management.
The webinar was hosted by:
Natalie Mueller, MPH
Natalie is a manager in Product Development and has been with NCQA since 2015. In this role, she updates existing accreditation products and creates new accreditation and certification products to meet market and customer needs. She currently leads the Population Health Management project, transforming NCQA’s flagship product, Health Plan Accreditation, from single-condition management towards a population health-based approach that focuses on whole-person care. This work will go beyond Health Plan Accreditation as other accreditation and certification products are adapted for the new approach. She attended Penn State University where she received her Bachelor of Science in Nutritional Science and the University of Pittsburgh for her Master in Public Health.
NCQA created this Population Health Management Resource Guide in sponsorship with Janssen Scientific Affairs, LLC.