FLEX FY25: Population Health Improvement Technical Assistance

This optional Flex program area focuses on building capacity of CAHs to achieve measurable improvements in the health outcomes of their communities, with consideration of determinants of health, such as medical care systems and social and physical environments. CAHs are engaged in a broad variety of population health initiatives ranging from enhanced clinical care management tied to accountable care organization (ACO) and other value-based purchasing initiatives to community-based interventions to improve health and address the social and community factors that influence health status.

The purpose is to connect facilities and organizations with tools and resources to identify their unique strengths and needs as they consider population health initiatives. CAHs should be encouraged to complete the Population Health Readiness Assessment through TASC’s Population Health Toolkit. This assessment utilizes a systems-based framework to ensure a holistic approach to population health. The Population Health Portal has data scenarios that are specific to the state and county, as well as the CAH, that can be used in population health planning and addressing CHNA findings. CAHMPAS also includes community indicators related to market characteristics, socioeconomic factors, clinical care and access to care, charity care and bad debt, health behaviors, and health outcomes.

Please see Attachment C Scope of Services for preferred qualifications and Attachment D Work Plan for the Office of Rural Health's suggested activities.