NCQA New Products, Developments in Population Health Management

Ms Mueller began the session by defining population health management. She said that it is comprised of data integration, stratification, measurement, care delivery system, health plans and payers, community, and population identification. According to Ms Mueller, there is a multi-step journey to achieve population health, including the triple aim—which combines population health, per capita costs, and experience of care—Affordable Care Act and Medicare and CHIP Reauthorization Act, PHM Category in Health Plan Accreditation, and finally new products.

The NCQA population health management (PHM) Health Plan Accreditation category consists of:

• PHM...