by Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions
The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of high health spending and poor health outcomes.
A recent report by the Robert Wood Johnson Foundation’s Commission to Build a Healthier America, confirms what we already know: dramatically changing these statistics requires a combined approach that comprises investment in health care delivery and expanding “our focus to address how to stay healthy in the first place.”
By Larry Hinkle
Many state officials are turning their attention to the most neglected leg of the Triple Aim: improving the health of populations, which along with improving the experience of care, and reducing per capita costs of health care, is essential for system transformation efforts. The critical need to integrate population health strategies into systems transformation was a central theme that emerged during the presentations and discussions of a National Academy for State Health Policy Preconference: Improving Population Health Outcomes: Creating a Truly Comprehensive System.