The Affordable Care Act and Population Health Management Share Goals

March 26, 2017 § Leave a comment

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Population Health Management
Image: library.ahima.org

Dr. Lamont Tyler is currently the Regional Director of Specialty Services for OSF St. Joseph Medical Center and OSF Saint James – John W. Albrecht Medical Center in Illinois. Dr. Lamont Tyler is board-certified in urgent care and family medicine and has an interest in population health.

Population Health Management is a newer term that addresses the three linked objectives of health care within a specific population, derived from a demographic or a predetermined criterion, like ethnicity, gender, or economic status. The Triple Aim has three related goals: improving an individual’s health care experience, reducing the costs per person of health care, and improving the health of the predetermined segment of the population.

The Affordable Care Act (ACA), made into law by President Obama in 2010, has many of the same goals as the Triple Aim of population health management. One of the goals of the ACA was to reduce the cost of health care, and to make health care available to all individuals, regardless of illness or expensive conditions. Before the ACA, insurance companies could deny coverage to individuals who had a history of cancer or diabetes. Untreated diabetes can create severe and sometimes fatal health complications.

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