Population health management

Population health management involves analyzing and managing health data from diverse patient populations to improve health outcomes. This care coordination and delivery approach focuses on identifying health risks and needs, implementing tailored interventions, and coordinating care to enhance overall health while reducing healthcare costs and disparities.

Top Stories

News 10 Jun 2024
South Carolina gains web-based tool for population health surveillance

Six new data dashboards will track cancer, care access and SDOH across South Carolina’s 46 counties in an effort to advance population health. Continue Reading
News 15 May 2024
AI, social media help track population-based mental health patterns

Using an AI-driven, language-based mental health assessment framework, researchers could accurately assess depression and anxiety rates at the county level. Continue Reading

News 01 Apr 2024

NIH funding development of AI tools for health disparity research

The “Trustworthy AI to Address Health Disparities in Under-resourced Communities,” project is set to enhance the explainability of AI-driven risk prediction models. Continue Reading
News 01 Apr 2024

AI reveals race-based differences in the expression of depression

New study shows that language-based predictive models for detecting depression severity may generalize well to white Americans, but not to their Black counterparts. Continue Reading
News 29 Mar 2024

Analysis highlights five preventable suicide risk profiles

Mental health, substance use, physical health and intimate partner conflicts are some of the most significant risk factors for suicide identified in a new study. Continue Reading
News 28 Mar 2024

Online big data dashboard to help map enteric infectious diseases

The Planetary Child Health & Enterics Observatory dashboard aims to shed light on the global public health threat of diarrheal diseases in children. Continue Reading
Feature 25 Mar 2024

How do population health, public health, community health differ?

Population, public, and community health are key in promoting wellness and improving outcomes, but understanding their nuances is critical. Continue Reading
Answer 20 Feb 2024

How Data-Informed Risk Stratification Can Support Suicide Prevention

Provider organizations play a key role in suicide prevention, and one health system shows how effective risk stratification can drive these efforts. Continue Reading
Answer 22 Jan 2024

Using Analytics Tools to Drive Care Coordination for Wildfire Victims

Analytics-driven population health management strategies may help healthcare organizations tackle the persistent care challenges posed by wildfires. Continue Reading
Answer 27 Nov 2023

Exploring a Framework for Pediatric Data Use in Health AI Research

The ACCEPT-AI framework provides recommendations for the safe inclusion of pediatric health data in AI and ML research. Continue Reading
News 22 Nov 2023

Patient-Reported Symptom Data May Hinder Telehealth-Based Flu Diagnosis

The accuracy of existing clinical decision rules for flu in a telehealth setting can be negatively impacted by using only patient-reported symptom data. Continue Reading
News 26 Oct 2023

NYC Health Dept. Launches Center for Population Health Data Science

The new center aims to bolster New York City’s population health surveillance and improve outcomes by linking healthcare, public health, and social service data. Continue Reading
News 25 Oct 2023

Cedars-Sinai Deep Learning Tool Accurately Predicts Atrial Fibrillation

New AI model uses routinely acquired outpatient 12-lead electrocardiograms to help clinicians identify abnormal heart rhythms in patients not yet showing symptoms. Continue Reading
Feature 08 Sep 2023

Explaining the Basics of Patient Risk Scores in Healthcare

Patient risk scores and stratification can bolster care management initiatives, but stakeholders must understand the use cases and limitations. Continue Reading
News 07 Sep 2023

Patient Triage Artificial Intelligence May Boost Future Outbreak Response

A patient triage AI model can accurately predict disease severity and length of hospitalization during a viral outbreak using clinical and metabolomics data. Continue Reading
News 21 Jul 2023

Research Identifies Link Between Genetic Makeup and Disease Risk

UCLA Health researchers analyzed a diverse patient population to determine the effect of genes on disease risk, potentially leading to custom treatment. Continue Reading
News 13 Jul 2023

Models Classify Osteoarthritis Subgroups Based on Pain, Disease Severity

Researchers have developed algorithms to identify osteoarthritis patient subgroups that experience more comorbidities and lower quality of life than their peers. Continue Reading
News 11 Jul 2023

Phone Data in Public Health Efforts May Magnify Health Inequities

Phone data used for public health initiatives may underrepresent vulnerable populations due to disparities in mobile phone ownership and biases in the data. Continue Reading
News 05 Jul 2023

Risk Prediction Model Accurately Identifies Women Vulnerable to HIV

New model flags recent pregnancy, recent hepatitis C diagnosis, and substance use among risk factors that can identify women most at risk for HIV infection. Continue Reading
News 19 Jun 2023

Omitting Race, Ethnicity from Risk Models May Lead to Health Disparities

New research suggests that using clinical risk prediction models that omit race and ethnicity may worsen predictive accuracy and exacerbate health disparities. Continue Reading
Answer 14 Jun 2023

How NorthShore Uses AI, NLP to Tackle SDOH in the Emergency Department

NorthShore – Edward-Elmhurst Health is using natural language processing in the emergency department to minimize care disparities and improve health equity. Continue Reading
News 30 May 2023

Federal Grant to Bolster Neonatal Research Consortium

The University of New Mexico Health Sciences will use federal grant funding to participate in the Neonatal Research Network and improve newborn care. Continue Reading
News 30 May 2023

CT Scans Outperform Polygenic Risk Prediction Methods for Heart Disease

Researchers from Northwestern University have found that CT scans are better than genetics at predicting a middle-aged person’s risk for heart disease. Continue Reading
News 23 May 2023

Potential Racial Bias Found in Type 2 Diabetes Risk Prediction Models

New research shows that type 2 diabetes prediction models may contain biases that contribute to over- or under-estimations of risk based on a patient’s race. Continue Reading
News 10 May 2023

ML Highlights Population Differences in Long COVID Risk, Symptoms

Weill Cornell Medicine researchers leveraged machine learning to uncover how long COVID symptoms and risk vary across populations. Continue Reading
Answer 10 May 2023

How Risk Stratification Can Help Combat Preterm Birth Disparities

Parkland Center for Clinical Innovation is identifying at-risk pregnancies and addressing premature birth disparities through analytics-based risk stratification. Continue Reading
News 09 May 2023

New Research to Measure the Impact of Overdose Prevention Centers

Researchers from NYU and Brown University will study how well overdose prevention centers help combat drug overdose and improve outcomes. Continue Reading
News 04 May 2023

Missing Data May Contribute to Health Disparities in Children with Lupus

Missing clinical, demographic, and socioeconomic data may negatively impact health equity for children with lupus, a new study finds. Continue Reading
News 24 Apr 2023

WHO Launches Global Health Inequality, Population Health Data Repository

The World Health Organization has launched its Health Inequality Data Repository, the largest global collection of data on population health and health disparities. Continue Reading
News 21 Apr 2023

University of Virginia Unveils Center for Health Equity, Precision Medicine

UVA School of Medicine has launched its Center for Health Equity and Precision Public Health to tackle major public health issues and improve patient wellbeing. Continue Reading
News 28 Mar 2023

SDOH Associated with Increased Risk of Suicide Among US Veterans

Researchers found a significant association between nine social determinants of health extracted from veterans’ EHRs using natural language processing and the risk of suicide. Continue Reading
News 24 Mar 2023

AI Predicts Community-Based Opioid Deaths Using Social Media Posts

A new artificial intelligence algorithm can predict opioid death rates more accurately than traditional methods by incorporating social media posts. Continue Reading
News 17 Mar 2023

Socioeconomic Data Analysis Reveals Health Equity Barriers

Utica University researchers used demographic and family structure data to identify neighborhoods that could benefit from additional healthcare interventions. Continue Reading
News 14 Mar 2023

UPMC Explores Machine Learning's Potential to Personalize HIV Testing

A UPMC expert outlines how machine-learning software may help improve laboratory workflows and enhance care for those undergoing HIV testing. Continue Reading
News 13 Mar 2023

NJ Population Health Data Initiative Approves Pilot Projects

A New Jersey-wide population health project approved pilot funding for four research proposals tackling COVID-19, the opioid epidemic, mental health, and birth outcomes. Continue Reading
News 10 Mar 2023

Researchers Develop Health Equity Data Dashboard for Medicare Plans

Researchers have developed a dashboard that shows how equitably Medicare Advantage plans are serving their enrollees in an effort to advance health equity. Continue Reading
Answer 08 Mar 2023

How a Digital ‘Baseball Card’ Supports Care Management

Medical Home Network’s ‘baseball card’ technology aims to support care management and population health by bolstering interoperability among providers. Continue Reading
News 06 Mar 2023

Predictive Analytics Deployment to Forecast Infectious Disease, Care Needs

Highmark Health hopes to predict staffing needs, bed capacity, and healthcare utilization using Kinsa’s AI-based illness forecast tool. Continue Reading
News 02 Mar 2023

Hospital Initiative to Combat Chronic Kidney Disease Disparities

Dignity Health St. Joseph’s Hospital and Medical Center launched an initiative to address race-based algorithms for early chronic kidney disease diagnosis. Continue Reading
News 22 Feb 2023

Cleveland Clinic to Leverage Digital Twins for Health Disparity Research

Cleveland Clinic and MetroHealth will use a $3.14 million NIH grant to develop digital twin technology and tackle health disparities. Continue Reading
News 21 Feb 2023

Survey Finds Most Healthcare Orgs Struggle to Collect, Use SDOH Data

AHIMA revealed that eight in 10 healthcare organizations currently collect social determinants of health data but face challenges related to its collection, coding, and use. Continue Reading
News 17 Feb 2023

ML Model Predicts Prematurity Complications in Newborns Using EMR Data

Stanford researchers have developed a machine-learning algorithm that uses mothers’ and babies’ medical records to predict newborn health risks. Continue Reading
News 13 Feb 2023

Researchers Identify Social Predictors of Premature Death Risk for Seniors

Leveraging machine-learning approaches, new research identified eight social factors that predict premature death for older adults, including feeling isolated and not working for pay. Continue Reading
News 26 Jan 2023

Value-Based Care Platform to Bolster Population Health Partnership

The University of Maryland Medical System and CareFirst will leverage a risk adjustment platform to support the shift to value-based care and reduce care costs. Continue Reading
News 25 Jan 2023

New Tool Provides Population Health Insights in US Congressional Districts

The Congressional District Health Dashboard is designed to provide policymakers and the public with actionable and nonpartisan health data at the congressional district level. Continue Reading
News 23 Jan 2023

Cloud Partnership to Improve Care Quality for Kidney Disease Patients

Evergreen Nephrology will leverage the Innovaccer Health Cloud to optimize value-based care delivery for patients living with kidney disease. Continue Reading
News 20 Jan 2023

Partnership to Improve Specialty Care for Heart Failure Patients

Intermountain Healthcare will leverage Story Health’s AI-integrated platform to help improve the specialty care experience for heart failure patients and their loved ones. Continue Reading
News 18 Jan 2023

Deep-Learning Tool Can Predict Lung Cancer Risk Within Six Years

The tool accurately predicts the risk of lung cancer for individuals with or without a significant smoking history. Continue Reading
News 06 Jan 2023

New Machine-Learning Model Identifies Long COVID Subtypes

A newly developed machine-learning tool uses EHR data to find common symptoms among people with long COVID and identify condition subtypes. Continue Reading
News 05 Jan 2023

Machine-Learning Model Estimates Risk of Adverse Prescription Opioid Outcomes

A machine-learning model trained on administrative data can estimate adverse outcome risk within 30 days of opioid dispensation. Continue Reading
News 04 Jan 2023

Deep-Learning Model Identifies Lung Cancer Risk Using Chest X-rays

A deep-learning model may help identify individuals who could benefit from lung cancer screening, including those missed by Medicare screening eligibility criteria. Continue Reading
Answer 19 Dec 2022

Leveraging Location Analytics to Address the Opioid Epidemic

The Stark County Health Department has launched an initiative to coordinate its opioid epidemic outreach using a geographic information system and location analytics. Continue Reading
News 09 Dec 2022

Wastewater Monitoring Tool Tracks COVID-19 Trends, Public Health Threats

Researchers have leveraged a wastewater-based epidemiology tool to track opioid use and serve as an early warning system for COVID-19 surges. Continue Reading
News 06 Dec 2022

NY Health Center Launches Population Health Management Partnership

Morris Heights Health Center and the Garage have joined forces to leverage a population health management platform to improve community care. Continue Reading
News 09 Nov 2022

AI System to Leverage Social Media to Predict, Prevent Future Pandemics

Researchers at the University of California have received a $1 million grant to develop an AI-based early warning system that will examine social media posts to help predict future pandemics. Continue Reading
News 04 Nov 2022

Researchers Develop Machine-Learning System to Detect Public Health Threats

Researchers have developed an automated machine-learning system that can provide 'pre-syndromic' public health surveillance to identify new or rare disease clusters. Continue Reading
News 20 Oct 2022

NYC Health Dept. Leverages Health Equity Framework to Combat Disparities

The New York City Health Department is applying The Healing ARC framework to its initiatives aimed at confronting racism in medicine and improving health equity. Continue Reading
News 19 Oct 2022

NIH Award to Support Informatics-Driven Population Health Research

Mount Sinai will leverage a $55.5 million NIH grant to use informatics and data science to accelerate research into new treatments and population health approaches. Continue Reading
News 12 Oct 2022

Population Health Management Tool Improves Primary Care Outcomes in VBC Model

A new study shows that population health management and analytics enhanced care quality and efficiency in primary care practices enrolled in the now-defunct CMS Comprehensive Primary Care Plus program. Continue Reading
Answer 03 Oct 2022

Using Self-Reported Patient Data to Advance Lung Disease Care

The Pulmonary Fibrosis Foundation is leveraging self-reported patient data to support clinical care and research for pulmonary fibrosis and interstitial lung diseases. Continue Reading
Answer 22 Sep 2022

How AI Can Help Alleviate Black Maternal Health Disparities

Artificial intelligence tools are creating many new opportunities and improvements in maternal health, but SDOH data collection must be improved to address inequities within Black communities. Continue Reading
News 19 Sep 2022

Microsoft, NYU, Novartis Launch AI-Driven Heart Health Equity Network

The Novartis Foundation has developed the AI4HealthyCities Network in collaboration with Microsoft AI for Health and the NYU School of Global Public Health. Continue Reading
News 09 Sep 2022

CDC Awards $9M for Development of Long COVID Surveillance System

Indiana University and the Regenstrief Institute have partnered to develop one of the first population-based surveillance systems for long COVID using a $9 million CDC grant. Continue Reading
News 07 Sep 2022

Prediction Model Forecasts Quality of Life Among Childhood Cancer Survivors

Researchers have developed and validated a model that can accurately predict quality of life among adult survivors of childhood cancer. Continue Reading
News 30 Aug 2022

PA Health Systems Launch Big Data-Driven Kidney Disease Collaboration

Children’s Hospital of Philadelphia and Penn Medicine have joined forces to launch the Penn-CHOP Kidney Innovation Center to improve quality of life for kidney disease patients. Continue Reading
News 29 Aug 2022

FL Health System Adopts Cloud to Enhance Population Health Analytics

Baptist Health South Florida is implementing Innovaccer’s cloud platform to help optimize its population health analytics efforts. Continue Reading
News 29 Aug 2022

AI Model Improves Colorectal Cancer Recurrence Prediction

Mayo Clinic research shows that a deep-learning algorithm may improve predictions of colorectal cancer recurrence and survival. Continue Reading
News 23 Aug 2022

Most Drug Overdose Patients Not Tested for Fentanyl, Synthetic Opioids

New research suggests that only 5 percent of US drug overdose patients are tested for synthetic opioids, the leading killer of adults under 45, in the emergency room. Continue Reading
News 23 Aug 2022

Social Determinants of Health Impact Pediatric EMS Transport

A new analysis shows that social determinants of health (SDOH) have a significant impact on EMS pediatric transport decisions and prehospital encounters. Continue Reading
News 16 Aug 2022

AI Tool Predicts Pre-Diabetes, Diabetes in High-Risk Patients

Researchers have found that an artificial intelligence-based tool can predict pre-diabetes and type 2 diabetes in populations at high risk for the conditions. Continue Reading
News 15 Aug 2022

AI Pain Care Tool May Increase Access, Reduce Costs for Chronic Pain Patients

A cognitive behavioral therapy intervention for chronic pain, personalized for patients using artificial intelligence, achieved similar results as standard therapies. Continue Reading
News 12 Aug 2022

NC Medical School Develops Digital Health Platform to Improve Stroke Care

Researchers at NC-based Wake Forest University School of Medicine have developed a platform to help improve remote monitoring and care coordination to support stroke patients. Continue Reading
News 12 Aug 2022

Mount Sinai Launches Data-Driven Medical-Legal Program to Address Patient Needs

Mount Sinai has created a program that will provide free legal services for patients in underserved areas, which may significantly improve health outcomes. Continue Reading
News 08 Aug 2022

Stanford Strikes Analytics Partnership to Evaluate COVID-19 Health Outcomes

Stanford Medicine researchers will utilize Komodo Health’s data analytics application to study the short- and long-term health impacts of COVID-19. Continue Reading
News 05 Aug 2022

NJ Hospital to Implement Colonoscopy AI Tech in Underserved Communities

Hackensack University Medical Center has been awarded funding to implement artificial intelligence-assisted colonoscopy technology in low-income and underserved areas. Continue Reading
News 02 Aug 2022

Researchers Propose Framework to Ensure Equitable Healthcare Algorithms

Rand Corp. researchers argue that including race and ethnicity information, rather than removing it, is key to eliminating algorithmic bias. Continue Reading
News 01 Aug 2022

Hawaii Health System Launches Population Health Analytics Collaboration

Hawaii Health Network and COPE Health Solutions have launched a population health partnership focused on providing value-based payment analytics and performance insights. Continue Reading
News 28 Jul 2022

Ohio Children’s Hospital Strikes Data-Driven Population Health Partnership

Ohio-based Akron Children’s Hospital has entered into a strategic collaboration to advance pediatric population health through data analytics. Continue Reading
News 22 Jul 2022

Prediction Model Can Forecast Post-Operative Outpatient Opioid Use

Researchers have developed and validated a model to predict outpatient opioid use following gynecological surgical procedures, and they further plan to validate the model in other populations. Continue Reading
News 14 Jul 2022

Public, Population Health Informatics Program Nabs $2.5M to Expand Training

The Indiana Training Program in Public and Population Health Informatics has received a five-year continuation of funding from the National Institutes of Health. Continue Reading
News 12 Jul 2022

Medical School Launches New Department to Enhance Patient Care Through AI

The University of Colorado School of Medicine is introducing a department to enhance clinical care through integrated computational technology, laboratory investigations, and artificial intelligence. Continue Reading
News 12 Jul 2022

Limited Racial Data Curbs Diagnosis, Treatment of Genetic Conditions

New research from Johns Hopkins Medicine shows that limited data on race can skew the diagnosis and treatment of rare genetic conditions. Continue Reading
News 11 Jul 2022

NY Health Consortium Receives $8M to Expand Patient Data Network

A Weill Cornell Medicine-led health consortium has been awarded $8 million in renewed funding to expand its population health database and research. Continue Reading
News 07 Jul 2022

SDOH Improves Performance of Heart Failure Mortality Predictive Model

Researchers have found that machine-learning models that incorporate social determinants of health data perform better than traditional methods of predicting heart failure deaths among Black patients. Continue Reading
News 01 Jul 2022

TX Health System Launches Population Health, Genomics Initiative

Texas-based Memorial Hermann Health System and Helix have announced a new collaboration to launch a population genomics program in an effort to personalize patient care. Continue Reading
News 29 Jun 2022

Vanderbilt University Launches Study on LGBTQ+ Aging, Health Disparities

Researchers have launched a four-year longitudinal study of older LGBTQ+ people in the South to better understand aging and health disparities in the community. Continue Reading
News 27 Jun 2022

NJ Launches Statewide Population Health Data Project

Rutgers Center for State Health Policy in New Jersey has launched a new initiative to address some of the state’s most pressing population health concerns, including the opioid epidemic. Continue Reading
News 27 Jun 2022

“All of Us” Program Expands COVID-19, SDOH Data Available to Researchers

The All of Us Research Program has expanded its dataset to help researchers investigate long COVID, social determinants of health, and health disparities. Continue Reading
News 23 Jun 2022

Suicide Death Rates Spiked Over Decade, Especially Among People of Color

A new analysis, released as the US prepares to launch a new three-digit mental crisis hotline, shows that suicide death rates sharply increased from 2010 to 2020, especially among people of color. Continue Reading
News 21 Jun 2022

Racial Gaps Remain Despite Overall Jump in Life Expectancy

Although average life expectancy in the US grew 2.3 years between 2000 and 2019, racial gaps persisted, according to new data. Continue Reading
News 08 Jun 2022

Experts Call for Real-Time, Comprehensive Data to Address Opioid Crisis

Public health researchers have called for a comprehensive, timely data strategy, like the approach taken during the COVID-19 pandemic, to help address the opioid epidemic at the local level. Continue Reading
News 03 Jun 2022

Natural Language Processing Helps Shed Light on Youth Mental Health Crisis

The Crisis Text Line used natural language processing to highlight trends in youth mental health, finding that millions are experiencing anxiety and grief. Continue Reading
News 01 Jun 2022

Machine Learning May Help Predict Opioid Overdoses in Medicaid Patients

A new study shows that a machine-learning model using state Medicaid data may accurately predict opioid overdose in beneficiaries. Continue Reading
News 31 May 2022

New Data Science Training Program to Focus on Health Equity

The Medical University of South Carolina and Clemson University have been awarded $1.2 million to establish a new training program that focuses on harnessing big data to address health inequities. Continue Reading
News 23 May 2022

NIH Awards $68M to AI Company as Part of Antiviral Drug Development Collab

The National Institutes of Health have awarded $68 million to PostEra as part of a collaboration to develop small-molecule antiviral therapeutics to prevent future pandemics. Continue Reading
News 11 May 2022

CDC to Expand Wastewater Monitoring for COVID-19 Through Analytics Collab

The CDC and Biobot Analytics are partnering to expand the National Wastewater Surveillance System that can help track the spread of COVID-19. Continue Reading
News 03 May 2022

AI Model Can Help Predict, Prevent Pediatric Appointment No-Shows

A new study shows that AI can accurately predict no-shows for pediatric appointments using patients’ medical records and local weather information. Continue Reading
News 02 May 2022

Deep Learning Model Able to Detect Emotion Related to COVID-19

Researchers have developed an emotion detection AI model that could be used to help emergency responders direct people to mental health services during a pandemic, a new study finds. Continue Reading
News 25 Apr 2022

HHS to Pour $90M Into Data-Driven Efforts to Combat Health Disparities

The HHS announced $90 million in American Rescue Plan funding to bolster new data-driven efforts that can identify and reduce health disparities. Continue Reading
News 21 Apr 2022

CDC to Extend Partnership Supporting Disease Monitoring, Response

The CDC and Palantir are extending their work on public health surveillance and outbreak response through the DCIPHER Program. Continue Reading
News 20 Apr 2022

CDC Unveils Forecasting, Outbreak Analytics Center

The CDC announced a new center that aims to enhance the national capability for using data use, modeling, and analytics to address public health threats. Continue Reading
News 14 Apr 2022

Northwell Health, Aegis Ventures Launch AI Company Creation Platform

Northwell Health and Aegis Ventures have partnered to create Ascertain, a company creation platform designed to launch healthcare AI companies. Continue Reading