Population Health

timer Asked: Dec 19th, 2018
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Question description

  • Review the resources focusing on the Triple Aim. Reflect on its components and their role in contributing to healthcare transformation.
  • Review the examples of Oak Street Health (Porter, Lee, & Alger, 2017) and the CVS Health-Aetna merger (Salazar, 2018) from this week’s resources and select one of these cases to focus on for this Assignment.
  • Consider how the role of pharmacies is moving beyond conventional understandings. They are no longer simply places where people pick up their medicines. More pharmacies are offering healthcare services such as screenings and vaccines with little or no wait time. They are becoming important dispensaries of preventive care.

The Assignment: (3–5 pages)

Based on the case of Oak Street Health (Porter, Lee, & Alger, 2017) or the CVS Health-Aetna merger (Salazar, 2018) , write a 3- to 5-page paper that addresses the following:

  • Explain why the adoption of the case presented, in the profile you selected, should be expanded.
  • Explain how the case addresses cost and quality to support population health outcomes.
  • Analyze the implications that your selected case has on the future of the health system. What are the most important developments, and what would be some next steps?
  • Explain the direct impacts your case has on providers, institutions/organizations, and consumers.
  • Identify at least two challenges in the case you selected and explain what you might do to address these challenges.
  • Analyze how health education can be incorporated into the case you selected. Be sure to consider the following:
    • Linkages with health partners outside of the system
    • The use of self-management education and partnerships with area non-profits
    • Partnerships with other types of clinicians related to health education (e.g., registered dieticians, LCSWs)
  • Explain at least two benefits in the case you did not select and how those benefits can be incorporated into the case you did select. How might incorporating these benefits affect the case you selected?
  • Choose one of the profiles presented this week and explain how the individual and the population he or she represents can be affected by the case that you selected. Be specific.


Porter, M. E., Lee, T. H., & Alger, M. A. (2017). Oak Street Health: A new model of primary care [Case study]. Boston, MA: Harvard Business.
Salazar, D. (2018, January 8). Changing dynamics: The CVS Health-Aetna merger forces the industry to adapt. Drug Store News. Retrieved from http://www.drugstorenews.com/article/changing-dyna...
Squazzo, J. D. (2015, January/February). The journey to value-based care for population health. Healthcare Executive, 30(1), 28–34. Retrieved from https://www.ache.org/abt_ache/JF15_F3_reprint.pdf
Document: Case Study Profiles (PDF)

Required Media

Institute for Healthcare Improvement [IHI Open School]. (2014, April 11). IHI - Coursera - Don Berwick IOM [Video file]. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resourc...
Oregon Primary Care Association [ORPCA]. (2015, March 5). Don Berwick, former CMS director, on health equity, the triple aim and reform in Oregon [Video file]. Retrieved from

Optional Resources

Peterson Center on Healthcare, and Henry J Kaiser Family Foundation. (n.d.). Health system dashboard. Retrieved March 6, 2018, from https://www.healthsystemtracker.org/dashboard/
Note: This resource provides context for how much money individuals are paying for healthcare.
Kutzin, J., Witter, S., Jowett, M., & Bayarsaikhan, D. (2017). Developing a national health financing strategy: A reference guide (Health Financing Guidance No. 3). Retrieved from World Health Organization website: http://apps.who.int/iris/bitstream/10665/254757/1/...
McClellan, M., Udayakumar, K., Thoumi, A., Gonzalez-Smith, J., Kadakia, K., Kurek, N., … Darzi, A. W. (2017). Improving care and lowering costs: Evidence and lessons from a global analysis of accountable care reforms. Health Affairs, 36(11), 1920–1927. doi:10.1377/hlthaff.2017.0535
McClellan, M. B., & Leavitt, M. O. (2016). Competencies and tools to shift payments from volume to value. Journal of the American Medical Association, 316(16), 1655–1656. doi:10.1001/jama.2016.14205

Meyers, G., Price, G., & Pykosz, M. (2016). Caring for older adults in a value-based model. Retrieved from https://catalyst.nejm.org/caring-for-older-adults-...

Note: This case study profiles document supports the Assignment in Week 3 Profile 1: Melissa Zane Adrian Meyer is Melissa’s community health nurse who is helping Melissa secure subsidized health insurance for prenatal care and the management of her diabetes. Adrian has experience as a public health nurse and has developed extensive health insurance networks for the community health center. Adrian works closely with the community health doctor providing Melissa’s care. However, Dr. Sean Scott is not Melissa’s PCP. Dr. Scott has referred Melissa to Dr. Marie Sanchez for prenatal followup and to Bill Smith, a diabetes program coordinator, to help Melissa manage her diabetes with nutrition classes and workshops. Since Melissa is an advanced maternal age pregnancy patient, Dr. Sanchez and Mr. Smith have facilitated additional workshops to help Melissa maintain a safe and healthy pregnancy. Dr. Scott has also enrolled Melissa in a “Mothers to Be” program for expecting mothers with diabetes. Frieda Smithers is a health educator who participates in the care extension program at the community health center. The program provides nutritional support and guidance in coordination with local grocery stores to provide patients with access to healthy and nutritious foods. To date, the care extension program has signed agreements with five local grocery stores to provide these services to participants. Photo credit: Jose Luis Pelaez/Getty Images Note: This case study profiles document supports the Assignment in Week 3 Profile 2: Sidney Cohen Janet Ruth is the health coordinator at the VA who works with Sidney in securing appointments with Dr. Samantha Bey, Sidney’s PCP. Dr. Bey, trained in the Netherlands, holds a J-1 visa and a Conrad 30 waiver. Both the J-1 visa and the Conrad 30 waiver allow for Dr. Bey to administer care for Sidney in his rural locale. Janet and Dr. Bey work closely with Mark Rodriguez, the VA transportation coordinator who works with community transport services to provide transportation for patients of the VA. Dr. Bey has also referred Sidney to Dr. Elizabeth King, a mental healthcare professional who specializes in treating veterans with PTSD and other mental health disorders. Dr. King is also conducting a pilot study examining opioid addiction prevalence rates among the veteran population and is working on establishing a health education program to promote addiction prevention. Photo credit: Wernerimages / Getty Images Note: This case study profiles document supports the Assignment in Week 3 Profile 3: Jaime Gonzales Dr. Luis Calderon is a private practice physician and is Jaime’s PCP. Dr. Calderon is working with Jaime in treating his high blood pressure and high cholesterol. Dr. Calderon has referred Jaime to Dr. Susan James, who is also a physician in Dr. Calderon’s private practice. Dr. James is a cardiovascular specialist who is working closely with Jaime to modify his diet and exercise routines. Dr. James also coordinates with Maria Lewis, a private fitness coach who provides health education, nutrition, and exercise classes to patients of Dr. Calderon’s and Dr. James’s private practice. Jaime has also been referred to Bob Swanson, a health education professional who helps adults connect with smoking cessation programs to quit smoking. However, Jaime has ignored several of Bob’s attempts to meet with him to discuss quitting smoking. Photo credit: Hero Images/Getty Images

Tutor Answer

School: University of Maryland




Population Health
Student’s Name
Institutional Affiliation


Population Health

The CVS Health and Aetna merger signify a new chapter in pharmaceutical service
provision. Pharmacies are no longer places where people pick up their medicines. Further, more
and more pharmacies are providing healthcare services like screenings and vaccines without wait
time. The adoption of the case is essential and should be expanded based on the capabilities and
strengths of the two companies that have merged under the agreement (Salazar, 2018). The
agreement maintains the essential benefits and creates value for customers.
As such, the case should be expanded due to the increasing role that pharmacies are
playing in the transforming healthcare settings. The merger demonstrates that a health financing
strategy is essential based on the nature of a country’s health system in relation to the stated
goals and objectives that should be consistent with practices entailed in the universal healthcare
coverage plans. The provision of prescription drugs in such plans is critical for patients under the
Affordable Care Act 2010 since many patients continue to suffer because they lack access to
drugs for their conditions (Salazar, 2018). The case shows that such expansion is essential in
creating more standalone and specialty pharmacies to provide critical services to patients and the
general population.
Addressing Cost and Quality in supporting Population Health O...

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