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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Page R8
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Page R9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25667.
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Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

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 PREPUBLICATION COPY: UNCORRECTED PROOFS

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 Health Resources and Services Administration, the Department of Health and Human Services Program Support Center, Aetna Foundation, The California Endowment, Kaiser Permanente, The Kresge Foundation, the New York State Health Foundation, and the 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-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X 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 2020 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. 2020. Reorienting health care and business sector investment priorities toward health and well- being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25667. PREPUBLICATION COPY: UNCORRECTED PROOFS

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. PREPUBLICATION COPY: UNCORRECTED PROOFS

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. PREPUBLICATION COPY: UNCORRECTED PROOFS

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1 SANNE MAGNAN (Co-Chair), Adjunct Assistant Professor, University of Minnesota JOSH 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 School of Medicine GARTH GRAHAM, President, Aetna Foundation GARY R. GUNDERSON, Vice President, Faith and Health Ministries, 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 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, Medicine, Community and Family Medicine, and the Dartmouth Geisel School of Medicine at Darmouth, Dartmouth-Hitchcock Medical Center PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation BOBBY MILSTEIN, Director, ReThink Health JOSÉ T. MONTERO, Director, Office for State, Tribal, Local and Territorial Support; Deputy Director, Centers for Disease Control and Prevention MARY PITTMAN, President and CEO, Public Health Institute 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. v PREPUBLICATION COPY: UNCORRECTED PROOFS

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 KIMANI HAMILTON-WRAY, Senior Program Assistant ROSE MARIE MARTINEZ, Senior Board Director Consultant THERESA M. WIZEMANN, Rapporteur vi PREPUBLICATION COPY: UNCORRECTED PROOFS

CONTENTS ACRONYMS AND ABBREVIATIONS 1 INTRODUCTION Workshop Objectives Organization of the Workshop and Proceedings 2 CONNECTING HEALTH AND THE ECONOMY: THE SURGEON GENERAL’S CALL TO ACTION Health and the Economy Discussion 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 Taking Action in Health Care Policy Changes to Consider Discussion 4 EVOLVING VALUES AND PRIORITIES AMONG BUSINESS INVESTORS Using Capital to Drive Change Demand Side Perspective: Local Initiatives Support Corporation Supply Side Perspective: Goldman Sachs 5 CASE EXAMPLE OF INVESTMENT BY A HEALTH CARE ORGANIZATION UH: Striving Toward a Culture of Population Health Discussion 6 A CASE EXAMPLE OF BUSINESS INVESTMENT U.S. Trust, Bank of America: Impact Investing Discussion 7 REFLECTIONS ON LEADERSHIP INVESTMENT PRIORITIES Leadership Investment: Small-Group Activity Closing Comments APPENDIXES A REFERENCES B WORKSHOP AGENDA C BIOGRAPHICAL SKETCHES D READINGS AND RESOURCES E COMMISSIONED GRAPHIC: PATH TOWARD A WELL-BEING ECONOMY F SMALL GROUP EXERCISE MATERIALS vii PREPUBLICATION COPY: UNCORRECTED PROOFS

Acronyms and Abbreviations ACA Affordable Care Act of 2010 ACO accountable care organization CDFI community development financial institution CMMI Center for Medicare & Medicaid Innovation CMS Centers for Medicare & Medicaid Services EHPH Enhancing the Role of Hospitals in Improving Population Health ESG environmental, social, and governance (standards) LISC Local Initiatives Support Corporation NIH National Institutes of Health UH University Hospitals (Cleveland) ix PREPUBLICATION COPY: UNCORRECTED PROOFS

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On December 3, 2018, the National Academies of Sciences, Engineering, and Medicine convened a workshop, hosted by New York University (NYU) Langone Health in New York City, to explore how evolving concepts of value in health care and business investments are leading to a shift in resources toward investments in health and well-being for all. Workshop participants explored what industry leaders are doing to make progress and avoid pitfalls, tools and platforms that are useful to these efforts, and lessons and insights that stakeholders can use to help reinforce the shift toward healthier investments. This publication summarizes the presentations and discussions from the workshop.

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