Reorienting Health Care and
Business Sector Investment Priorities
Toward Health and Well-Being
PROCEEDINGS OF A WORKSHOP
Theresa M. 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
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and the Department of Health and Human Services’ Health Resources and Services Administration and Program Support Center, along with Aetna Foundation, The California Endowment, Kaiser Permanente, The Kresge Foundation, New York State Health Foundation, and Robert Wood Johnson Foundation. 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: 978-0-309-67119-4
International Standard Book Number-10: 0-309-67119-1
Digital Object Identifier: https://doi.org/10.17226/25667
Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
Copyright 2022 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2022. Reorienting health care and business sector investment priorities toward health and well-being: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25667.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president.
The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.
The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.
Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
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.
PLANNING COMMITTEE ON REORIENTING HEALTH CARE AND FINANCE SECTOR INVESTMENT PRIORITIES TOWARD HEALTH AND WELL-BEING1
BOBBY MILSTEIN (Chair), ReThink Health
CATHY BAASE, Michigan Health Improvement Alliance; The Dow Chemical Company
JIM KNICKMAN, New York University
SANNE MAGNAN, HealthPartners Institute; University of Minnesota
LISA RICHTER, Avivar Capital
MYLNN TUFTE, North Dakota Department of Health
CAROLINE WHISTLER, Third Sector Capital Partners
___________________
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.
This page intentionally left blank.
ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1
SANNE MAGNAN (Co-Chair), Senior Fellow, HealthPartners Institute; Adjunct Assistant Professor, University of Minnesota
JOSHUA M. SHARFSTEIN (Co-Chair), Associate Dean for Public Health Practice and Training, Johns Hopkins Bloomberg School of Public Health
PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges
TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health
JOHN AUERBACH, Executive Director, Trust for America’s Health
CATHY BAASE, Chair, Board of Directors, Michigan Health Improvement Alliance; Consultant for Health Strategy, The Dow Chemical Company
DEBBIE I. CHANG, Senior Vice President, Policy and Prevention, Nemours
KATHY GERWIG, Vice President, Employee Safety, Health and Wellness and Environmental Stewardship Officer, Kaiser Permanente
MARTHE GOLD, Senior Scholar in Residence, The New York Academy of Medicine
MARC N. GOUREVITCH, Professor and Chair, Department of Population Health, New York University Grossman School of Medicine, New York University Langone Health
GARTH GRAHAM, President, Aetna Foundation
GARY R. GUNDERSON, Vice President, Wake Forest Baptist Health and Stakeholder Health, Wake Forest University
WAYNE JONAS, Executive Director, H&S Ventures
ROBERT M. KAPLAN, Professor, Stanford University
DAVID A. KINDIG, Professor Emeritus of Population Health Sciences and Emeritus Vice Chancellor for Health Sciences, University of Wisconsin–Madison
PAULA M. LANTZ, Associate Dean for Academic Affairs and Professor of Public Policy, University of Michigan
MICHELLE LARKIN, Associate Vice President and Associate Chief of Staff, Robert Wood Johnson Foundation
THOMAS A. LAVEIST, Professor and Chair, Department of Health Policy, Milken Institute School of Public Health, The George Washington University
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
JEFFREY LEVI, Professor, Milken Institute School of Public Health, The George Washington University
SHARRIE MCINTOSH, Vice President for Programs, New York State Health Foundation
ROBERT MCLELLAN, Chief, Section of Occupational and Environmental Medicine; Medical Director, Live Well/Work Well; Professor of Medicine, Community and Family Medicine, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center
PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation
BOBBY MILSTEIN, Director, ReThink Health
JOSÉ T. MONTERO, Director, Center for State, Tribal, Local, and Territorial Support; Deputy Director, Centers for Disease Control and Prevention
MARY PITTMAN, President and Chief Executive Officer, Public Health Institute
PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation
MYLYNN TUFTE, State Health Officer, Office of the Governor, State of North Dakota
HANH CAO YU, Chief Learning Officer, The California Endowment
Health and Medicine Division Staff
ALINA BACIU, Roundtable Director
CARLA ALVARADO, Program Officer (through January 2021)
KIMANI HAMILTON-WRAY, Senior Program Assistant (through May 2019)
ROSE MARIE MARTINEZ, Senior Board Director, Board on Population Health and Public Health Practice
Consultant
THERESA M. 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:
JOSÉ T. MONTERO, Centers for Disease Control and Prevention
MYLYNN TUFTE, North Dakota Department of Health
IVANA VAUGHN, The New York Academy of Medicine
HANH CAO YU, The California Endowment
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 MARTIN J. SEPULVEDA, IBM Corporation. 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.
This page intentionally left blank.
Contents
Organization of the Workshop and Proceedings
2 CONNECTING HEALTH AND THE ECONOMY: THE SURGEON GENERAL’S CALL TO ACTION
3 EVOLVING VALUES AND PRIORITIES IN HEALTH CARE
Shifting Toward New Value and Investment
Engaging Health Systems in Improving Population Health
Aligning Drivers of Accountability and Economic Interest
4 EVOLVING VALUES AND PRIORITIES AMONG BUSINESS INVESTORS
Demand Side Perspective: Local Initiatives Support Corporation
5 CASE EXAMPLE OF INVESTMENT BY A HEALTH CARE ORGANIZATION
UH: Striving Toward a Culture of Population Health
6 A CASE EXAMPLE OF BUSINESS INVESTMENT
U.S. Trust at Bank of America: Impact Investing
7 REFLECTIONS ON LEADERSHIP INVESTMENT PRIORITIES
Leadership Investment: Small Group Activity
E COMMISSIONED INFOGRAPHIC: PATH TOWARD A WELL-BEING ECONOMY
Acronyms and Abbreviations
ACA | Patient Protection and Affordable Care Act |
ACO | accountable care organization |
CDFI | community development financial institution |
CMMI | Center for Medicare & Medicaid Innovation |
EHPH | Enhancing the Role of Hospitals in Improving Population Health |
ESG | environmental, social, and governance (standards) |
LISC | Local Initiatives Support Corporation |
NYU | New York University |
RWJF | Robert Wood Johnson Foundation |
UH | University Hospitals (Cleveland) |
This page intentionally left blank.