A Balanced Portfolio Model For Improving Health: Concept And Vermont’s Experience

Authors: Hester J
Year: 2018
State: VT
Website link: https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2017.1237?journalCode=hlthaff
Publicly Available: Yes
Evidence Generation: Documentation of how CHWs can work within care teams, Evidence-based interventions, Results from pilots studies etc. that aren't published in formal literature, White papers
Policy: Building partnerships, MCO contract language and reimbursement models
Sustainable Financing: CMS and CDC engagement from a national level, Engaging state partners in general, Expand evidence base, General other, How to engage and work with Medicaid, Including community-based CHWs, MCO or bundled payment reimbursement models, Evidence-based interventions, ROI and bundled payment successes/challenges, White papers

A successful strategy for improving population health requires acting in several sectors by implementing a portfolio of interventions. The mix of interventions should be both tailored to meet the community’s needs and balanced in several dimensions – for example, time frame, level of risk, and target population. One obstacle is finding sustainable financing for both the interventions and the community infrastructure needed. This article first summarizes Vermont’s experience as a laboratory for health reform. It then presents a conceptual model for a community-based population health strategy, using a balanced portfolio and diversified funding approaches. The article then reviews Vermont’s population health initiative, including an example of a balanced portfolio and lessons learned from the state’s experience.

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