Case Management – Vital to Population Health Management

The term population health management has become commonplace in today’s healthcare vernacular. Still, many people do not fully understand what it is and its importance in improving clinical outcomes.

The American Hospital Association (AHA) describes population health management as “a process of improving clinical health outcomes of a defined group of individuals through improved care coordination and patient engagement supported by appropriate financial and care models.” The AHA conducted a survey to evaluate how our nation’s hospitals and health systems were performing with respect to their population health initiatives. Here are some of the survey’s most significant findings:

  • A majority of U.S. hospitals and health systems were deploying population health strategies, but many still needed to do more to measure the results of their population health initiatives.
  • 82 % reported that population health management is reflected in their broader organizational strategies.
  • 77 % reported that they were screening patients for a broad range of social needs.
  • 66 % reported that they were documenting patients’ social needs in their Electronic Health Records (EHR).

Targeting Complex Medical Conditions

Often population health management is applied to address rising rates of certain medical conditions such as chronic obstructive pulmonary disease (COPD), cancer, cardiac disease, diabetes, high blood pressure, and obesity. These chronic and complex conditions are also costly to our nation’s health system and gaining better insight and control over contributors to these conditions is essential. To achieve that goal, population health management relies on an integrated care model and various tools and resources. There are social determinants of health guides, guides for care teams on how to engage and screen patients for social needs, and educational webinars and podcasts. On the AHA website, there is a dedicated section on population health fundamentals ( All of these resources are designed to help drive the patient-centered care coordination model that is so important to the success of population health case management.

Patient-Centered Care Coordination in Population Health Management

There are several key pillars of patient-centered care coordination as applied in population health management. They include:

  • The patient-centered medical home (PCMH),
  • A supportive environment,
  • Systematic performance monitoring and measurement,
  • The application of health information technology (e.g., EHR and Health Information Exchange),
  • Effective communications and collaboration between clinical team members,
  • Proactive care and transitions of care plans and follow-up

Dedicated and experienced case managers are the drivers of these activities and are central to patient-centered care coordination and the success of population health management.

In the past few weeks there have been numerous restrictions placed on businesses throughout the United States. Many states and localities across the country have enacted temporary restrictions on non-essential business operations, requiring millions of workers to stay home. Amalgamated Life Insurance Company, which is based in New York, is considered an essential business and therefore is not subject to these temporary restrictions.

However, in an effort to protect the health and safety of our employees, their families and communities, we have taken a series of company-wide actions, across all Amalgamated Family of Companies locations, to implement work from home and other flexible arrangements where feasible. Despite these changes, we will continue to provide you and your members with the customer service levels you have come to expect from us prior to the coronavirus outbreak.

We are diligently working with our partners and vendors to utilize our remote capabilities and infrastructure. We are also in constant communication with UPS and the USPS to stay informed of any potential changes in service. For the duration of this state of emergency, Amalgamated Life Insurance Company will comply with any required Notice Obligations by emailing and/or mailing notices to all consumers.

If you have any questions or concerns please reach out to your Amalgamated Family of Companies representative or our customer service center at: 914-367-5000. They are well-prepared to answer your questions and can address your specific needs.