Population Health

The Population Health Division at Providence are trusted advisors and thought partners. Our priority is to transform health care for better outcomes and an improved experience for patients, members and communities. We work collaboratively with regional and system Providence leaders as well as externally with community partners, payors and government agencies to understand opportunities and build solutions to deliver equitableand sustainable whole-person care.

View the Population Health Management 2021 Year in Review

What We Do

Value Based Care

We demonstrate value within Commercial, Medicare, and Employer ACOs including 1.3 million lives in value-based care contracting utilizing quality incentives and risk arrangements. Value includes quality, patient experience and affordability.

Payer and Provider Contracting

We manage $18B in managed services, supporting competitive positions for Providence, designed to maximize reimbursement and increase patient volume through strategic payer and provider partnerships. We provide modeling and negotiations for risk contracting and value-based care partnerships.

Population Health Informatics

We provide technologies and data informatics that allow us to KNOW our payers and contracted patients to bring greater value to our populations and to the organization.

Government Programs

We review regulatory changes and develop strategic programmatic recommendations to ensure our Medicare and Medicaid populations have best-in-class care. We position PSJH as an innovative partner with payers and CMS.

Home and Community Care

We provide a full range of services and support for all people of ages, especially those facing chronic or life-limiting illnesses. Our core competencies include restorative care, longitudinal care and care through the end of life. The Home and Community Care line of business serves more than 192,000 people a year, in their homes, in clinics and in a variety of congregate living ministries.

Mental Health Strategy

We facilitate change in behavioral health access and integration to drive measurable improvement in the lives of our patients and the communities we serve. We work to achieve equity between behavioral health and physical health care, especially for our most vulnerable populations.

Enterprise Care Management

We partner with caregivers to optimize delivery of whole person care to vulnerable populations. Exploring patient and community level data, we identify key populations needing customized approaches, whether through regional strategic initiatives such as Health Equity or Medicaid Improvement, training in new care management approaches such as Camden COACH/RELATE or the development of shared care management pathways, such as the Coordination of Care Module.

Ayin Health Solutions

We are a population health management company providing administrative management services, consulting services, clinical management, and digital solutions for employers, payers, providers, and government entities.

Providence Health Plans

We serve more than 1.4M managed lives across all lines of business with members in every state. We do this through 4.5-star Medicare Advantage, Medicaid, and Commercial plans.