Defining Population Health
Population health is defined as “the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” Health Colorado will work to reduce the health disparities within the Health First Colorado (Colorado’s Medicaid Program) population. Health disparities refer to the differences in access or availability of services and facilities. Health Colorado will utilize population health management tools which studies the distribution of health conditions and health-related behaviors to improve Members’ health. Health Colorado will also consider how social determinants of health, such as income, culture, race, age, family status, housing status, and education level impact Members’ health.
Health Colorado has developed a Population Health Management Plan for both adult and pediatric Members. Health Colorado will update the Population Health Management Plan with input from the local Program Improvement Advisory Committee (PIAC), community stakeholders, and other providers.
Our approach to Population Health Management encompasses eight key elements:
- Focus on the health of populations
- Address the determinants of health and their interactions
- Base decisions on evidence
- Increase upstream investments
- Apply multiple strategies
- Collaborate across sectors and levels
- Employ mechanisms for public involvement
- Demonstrate accountability for health outcomes
Health Colorado will leverage text-based technology and population health campaigns and tools that link Members with community resources such as the Wellpass Solution. The Wellpass Solution includes a number of evidence-based programs such as Text4baby (Maternal Health), Text2Quit (Smoking Cessation), Care4Life (Diabetes Management) and Text4Health (Adult Preventative Health).
Health Colorado will ensure that PCPs and care coordinators are aware of these text-based campaigns to reinforce the messages that our Members receive. Members who may need more intensive services or care coordination to improve their overall health and wellness will be referred to a Care Coordinator.
Health Colorado will share results with the Department of Healthcare, Policy and Financing (HCPF), our community stakeholders, and the public. These results will be shared through formal reporting to HCPF, trainings, community partnerships, success stories, the Member Advisory Council, and Regional PIAC.