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Suggested Citation:"Front Matter." 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: 10.17226/24760.
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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

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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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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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.

Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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.

Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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.

Page viii Cite
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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

Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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.

Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page xiii Cite
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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®
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×

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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R3
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R4
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R5
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
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Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R8
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R9
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R10
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R11
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R12
Page xiii Cite
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
Page R13
Suggested Citation:"Front Matter." 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: 10.17226/24760.
×
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In October 2016, the National Academies of Sciences, Engineering, and Medicine’s Roundtable on Population Health Improvement hosted a workshop to explore sustainable financing structures that reflect a recognition of the health and non-health factors that shape the well-being of U.S. communities. The goals of the workshop were to learn from the long-term, sustainable financing strategies used in other sectors, to explore how those approaches could be applied to population health, and to consider structures that work across sectors. This publication summarizes the presentations and discussions from the workshop.

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