Population Health and Value-Based Care Interest Group

 View Only

  • 1.  Welcome!

    Posted 07-17-2025 19:49

    Welcome to the SGIM Population Health and Value-Based Care Interest Group!

    We kicked off this interest group at the 2025 SGIM Annual Meeting and are looking forward to growing this community. This group is intended to support members in connecting on questions, innovations, strategies, pain points, and academic collaborations in the population health/value-based care domain broadly defined. Please feel free to invite other members!

    Here's a running list of topics we touched on at our in-person discussion in May:

    Key themes/issues identified:

     

    1. Relationship/dynamics between health system and medical school structures
    1. Pop health and value-based care structures and dynamics
    1. Primary-specialty care structures/dynamics/collaborations
    1. Core pop health areas: quality, cost/utilization, risk adjustment
    1. Integration of pop health care delivery with health services research
    1. Integration of pop health care delivery with teaching (general and clinical)
    1. The importance of institutional culture in pop health/value-based care work
    1. Funds flow - does the return on pop health investment come back to support/grow pop health activities?
    1. Incentives: for providers? for teams? for clinics? Incentives for quality, risk adjustment (HCC refresh)
    1. Burden reduction with better tools - automation/AI
    1. Central vs local vs hybrid pop health management and/or care management structures - trade-offs?
    1. Framing goals in ways that matter to providers
    1. Focus on quality framing, on what matters to providers
    1. AWVs: Debate on value; different team-based approaches
    1. Parting question from participant: Thought experiment: what if we threw everything out, what would we build?



    ------------------------------
    Jacob Berman, MD MPH
    Associate Professor
    Division of General Internal Medicine
    Medical Director for Population Health Integration
    UW Medicine
    ------------------------------

    SGIM26 Submissions Are Now Open


  • 2.  RE: Welcome!

    Posted 09-10-2025 00:49

    Hi All,

    Apologies for the long delay in getting this interest group community up and running here on GIMConnect! After a false start back in July, reposting a welcome message here. I know the deadline is now tight for updates and workshops for the 2026 Annual Meeting,  but feel free to share any ideas/proposals.

    Best,

    Jake

    ***

    Welcome to the SGIM Population Health and Value-Based Care Interest Group!

    We kicked off this interest group at the 2025 SGIM Annual Meeting and are looking forward to growing this community. This group is intended to support members in connecting on questions, innovations, strategies, pain points, and academic collaborations in the population health/value-based care domain broadly defined. Please feel free to invite other members!

    Here's a running list of topics we touched on at our in-person discussion in May:

    Key themes/issues identified:

     

    1. Relationship/dynamics between health system and medical school structures
    1. Pop health and value-based care structures and dynamics
    1. Primary-specialty care structures/dynamics/collaborations
    1. Core pop health areas: quality, cost/utilization, risk adjustment
    1. Integration of pop health care delivery with health services research
    1. Integration of pop health care delivery with teaching (general and clinical)
    1. The importance of institutional culture in pop health/value-based care work
    1. Funds flow - does the return on pop health investment come back to support/grow pop health activities?
    1. Incentives: for providers? for teams? for clinics? Incentives for quality, risk adjustment (HCC refresh)
    1. Burden reduction with better tools - automation/AI
    1. Central vs local vs hybrid pop health management and/or care management structures - trade-offs?
    1. Framing goals in ways that matter to providers
    1. Focus on quality framing, on what matters to providers
    1. AWVs: Debate on value; different team-based approaches
    1. Parting question from participant: Thought experiment: what if we threw everything out, what would we build?


    ------------------------------
    Jacob Berman, MD MPH
    Associate Professor
    Division of General Internal Medicine
    Medical Director for Population Health Integration
    UW Medicine
    ------------------------------

    SGIM26 Submissions Are Now Open


  • 3.  RE: Welcome!

    Posted 09-11-2025 00:17
    One quick question for this group: have any of your institutions piloted/implemented the APCM codes?
    APCM services combine elements of several existing care management and communication technology-based services you may have already been billing for your patients. This payment bundle reflects the essential elements of advanced primary care, including: Principal care management (PCM) – disease-specific services to help manage a patient's care for a single, complex chronic condition that ...

    Thanks,
    Jake

     

     

     

    Jacob Berman, MD MPH 


    Medical Director for Population Health Integration, UW Medicine and UW Primary Care and Population Health 

    Assistant Medical Director for Ambulatory Clinical Quality Improvement, University of Washington Medical Center 

    Clinical Associate Professor, General Internal Medicine, Department of Medicine

     

    UW Medicine 

    4245 Roosevelt Way NE. | Box 354760 | Seattle, WA 98105
    OFFICE:    206-598-8750  EMAIL:    jacobsb@uw.edu    WEB: uwmedicine.org 

     

             





    Original Message
    SGIM26 Submissions Are Now Open