JAMA Network August 6, 2019
Ashish K. Jha, MD, MPH

Over the last decade, the idea of population health management (PHM) has become increasingly embraced among US health care leaders and policy makers. By encouraging multisectoral collaboration, coordination with community services, and nonclinical interventions, many policy makers believe that we can both save money and save lives.

This belief makes sense: we know that the United States spends much more than other countries on health care but achieves worse population health outcomes. Experts have concluded that we need to shift our focus upstream, preventing diseases before they occur. Beyond standard notions of prevention (with such measures as vaccinations and early screening), PHM focuses on social determinants of health, encouraging healthier lifestyles and chronic disease management.

The notion is that...

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