Common use of Population Health Approach Clause in Contracts

Population Health Approach. a. ODM seeks to advance ODM's population health approach through the Ohio Medicaid managed care program. ODM's population health approach requires the MCO to use the following population health management principles to address health inequities and disparities to achieve optimal outcomes for the holistic well-being of the populations it serves: Using data and scientific principles to proactively identify and stratify its members in order to more strategically address member needs; Implementing the support structure (e.g., leadership, staffing, information systems) necessary to support population health strategies; and Strategically employing approaches across the care continuum and evaluating those approaches to further inform and refine the population health management approach. b. The MCO's population health approach must include the following strategies: Keeping individuals and their families at the center of all efforts to identify and meet population needs. This includes: 1. Removing barriers to care through supporting alternative sites and providers of care (telehealth, community-based providers) and simplifying/streamlining interactions with the MCO from the perspectives of both the member and the provider; 2. Optimizing coordination and collaboration across the system through a systematic and systemic use of information to ensure consistency in coverage and tailored approaches to meeting member needs; and 3. Connecting with communities, including having a physical presence in the communities where MCO members live. Valuing wellness by investing in and providing preventive, health promotion, and wellness services, and investing in primary care; Ensuring health equity in all policies, practices, and operations; and Recognizing the significance of behavioral health needs to overall health and well being, and emphasizing a strengths-based approach to behavioral health that fully integrates physical and behavioral health care. c. The MCO must demonstrate congruence with these principles and strategies in all aspects of MCO performance under this Agreement, including executing MCO responsibilities, coordinating with other ODM-contracted MCOs, the OhioRISE Plan, and the SPBM, collaborating with community stakeholders, supporting providers, and delivering services to members.

Population Health Approach. a. ODM seeks to advance ODM's population health approach through the Ohio Medicaid managed care program. ODM's population health approach requires the MCO to use the following population health management principles to address health inequities and disparities to achieve optimal outcomes for the holistic well-being of the populations it serves: : i. Using data and scientific principles to proactively identify and stratify its members in order to more strategically address member needs; ; ii. Implementing the support structure (e.g., leadership, staffing, information systems) necessary to support population health strategies; and and iii. Strategically employing approaches across the care continuum and evaluating those approaches to further inform and refine the population health management approach. b. The MCO's population health approach must include the following strategies: : i. Keeping individuals and their families at the center of all efforts to identify and meet population needs. This includes: 1. Removing barriers to care through supporting alternative sites and providers of care (telehealth, community-based providers, school-based) and simplifying/streamlining interactions with the MCO from the perspectives of both the member and the provider; 2. Optimizing coordination and collaboration across the system through a systematic and systemic use of information to ensure consistency in coverage and tailored approaches to meeting member needs; and 3. Connecting with communities, including having a physical presence in the communities where MCO members live. ii. Valuing wellness by investing in and providing preventive, health promotion, and wellness services, and investing in primary care; ; iii. Ensuring health equity in all policies, practices, and operations; and Recognizing the significance of behavioral health needs to overall health and well being, and emphasizing a strengths-based approach to behavioral health that fully integrates physical and behavioral health care. c. The MCO must demonstrate congruence with these principles and strategies in all aspects of MCO performance under this Agreement, including executing MCO responsibilities, coordinating with other ODM-contracted MCOs, the OhioRISE Plan, and the SPBM, collaborating with community stakeholders, supporting providers, and delivering services to members.

Population Health Approach. a. ODM seeks to advance ODM's population health approach through the Ohio Medicaid managed care program. ODM's population health approach requires the MCO to use the following population health management principles to address health inequities and disparities to achieve optimal outcomes for the holistic well-being of the populations it serves: : i. Using data and scientific principles to proactively identify and stratify its members in order to more strategically address member needs; ; ii. Implementing the support structure (e.g., leadership, staffing, information systems) necessary to support population health strategies; and and iii. Strategically employing approaches across the care continuum and evaluating those approaches to further inform and refine the population health management approach. b. The MCO's population health approach must include the following strategies: : i. Keeping individuals and their families at the center of all efforts to identify and meet population needs. This includes: 1. Removing barriers to care through supporting alternative sites and providers of care (telehealth, community-based providers) and simplifying/streamlining interactions with the MCO from the perspectives of both the member and the provider; 2. Optimizing coordination and collaboration across the system through a systematic and systemic use of information to ensure consistency in coverage and tailored approaches to meeting member needs; and 3. Connecting with communities, including having a physical presence in the communities where MCO members live. ii. Valuing wellness by investing in and providing preventive, health promotion, and wellness services, and investing in primary care; ; iii. Ensuring health equity in all policies, practices, and operations; and and iv. Recognizing the significance of behavioral health needs to overall health and well beingwellbeing, and emphasizing a strengths-based approach to behavioral health that fully integrates physical and behavioral health care. c. The MCO must demonstrate congruence with these principles and strategies in all aspects of MCO performance under this Agreement, including executing MCO responsibilities, coordinating with other ODM-contracted MCOs, the OhioRISE Plan, and the SPBM, collaborating with community stakeholders, supporting providers, and delivering services to members.

Population Health Approach. a. ODM seeks to advance ODM's population health approach through the Ohio Medicaid managed care program. ODM's population health approach requires the MCO to use the following population health management principles to address health inequities and disparities to achieve optimal outcomes for the holistic well-being of the populations it serves: : i. Using data and scientific principles to proactively identify and stratify its members in order to more strategically address member needs; ; ii. Implementing the support structure (e.g., leadership, staffing, information systems) necessary to support population health strategies; and and iii. Strategically employing approaches across the care continuum and evaluating those approaches to further inform and refine the population health management approach. b. The MCO's population health approach must include the following strategies: : i. Keeping individuals and their families at the center of all efforts to identify and meet population needs. This includes: 1. Removing barriers to care through supporting alternative sites and providers of care (telehealth, community-based providers) and simplifying/streamlining interactions with the MCO from the perspectives of both the member and the provider; 2. Optimizing coordination and collaboration across the system through a systematic and systemic use of information to ensure consistency in coverage and tailored approaches to meeting member needs; and 3. Connecting with communities, including having a physical presence in the communities where MCO members live. ii. Valuing wellness by investing in and providing preventive, health promotion, and wellness services, and investing in primary care; ; iii. Ensuring health equity in all policies, practices, and operations; and Recognizing the significance of behavioral health needs to overall health and well being, and emphasizing a strengths-based approach to behavioral health that fully integrates physical and behavioral health care. c. The MCO must demonstrate congruence with these principles and strategies in all aspects of MCO performance under this Agreement, including executing MCO responsibilities, coordinating with other ODM-contracted MCOs, the OhioRISE Plan, and the SPBM, collaborating with community stakeholders, supporting providers, and delivering services to members.