Population health management (PHM) programs aim to improve health outcomes for defined populations by identifying and addressing the needs of high-risk or high-utilization patients, optimizing resource allocation, and preventing adverse outcomes.
Option A (Ensure all patients receive the same level of care): PHM does not aim for uniform care but rather equitable and tailored care based on patient needs. Uniform care may not address disparities or prioritize high-risk groups.
Option B (Tailor interventions that prioritize patients with the greatest needs): This is the correct answer. NAHQ CPHQ study materials highlight that PHM programs use data to stratify populations (e.g., by risk or chronic conditions) and design interventions for those with the greatest needs, such as patients with multiple comorbidities or frequent readmissions, aligning with frameworks like the Triple Aim.
Option C (Take patient preferences into account): While patient-centered care considers preferences, PHM focuses on population-level strategies and risk stratification rather than individual preferences as the primary driver.
Option D (Assure patients are able to pay their medical expenses): PHM may address social determinants like financial barriers, but its primary goal is improving health outcomes, not ensuring payment ability, which is a separate administrative function.
[Reference: NAHQ CPHQ Study Guide, Domain 5: Population Health and Care Transitions, emphasizes PHM’s focus on tailoring interventions for high-need patients to improve outcomes and optimize resources., , , ]
