Health Affairs November 30, 2017
Like many health funders across the country, the Episcopal Health Foundation (EHF) is investing in health system transformation through use of population health, community prevention interventions, and value-based payment systems. The justification for doing so is solidly based: population health is mostly shaped by social determinants of health. When we neglect to take into account the health impact of our policy, regulation, planning, and other decisions (in, for example, enforcement of housing policies, ensuring that transportation supports access to healthy food for low-income groups, or designing healthy suburbs), we are not accounting for the true cost of those decisions, and we are suggesting that it is fair to expect the health system to pick up the costs of harms that...
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