Health Dialog Connections

The Benefits of a Community-Based Approach to Population Health Management

A pharmacist and a care coach helping a patient improve his health management

Two key trends are driving monumental change across the healthcare industry: the shift to consumer-centric care and the increase of value-based contracting. The demand for consumer-centric care is the catalyst for the adoption of retail health services, telehealth, consumer health portals, and other resources that make care more convenient for individual patients. The movement toward shared risk, gain share, and capitated arrangements has driven provider practices to launch chronic care management programs focused on demonstrating clinical, financial, and quality results.

These two trends are intimately connected. After all, an informed and motivated patient is more likely to engage and participate in a provider’s population health management program. Many of these patients need ongoing coaching to make the right lifestyle choices, and it’s these choices that will have the most impact on their long-term chronic disease management. By partnering with organizations that can deliver this ongoing support in a community-based retail setting (such as in their local pharmacy), provider practices can realize the dual goal of delivering convenient, value-based care.

To support providers in this endeavor, Health Dialog partnered with Rite Aid to launch a community-based, face-to-face coaching program called Rite Aid Health Alliance. The program was designed to help practices deliver lifestyle and medication support services to their patients without incurring the startup costs associated with running their own health initiatives. These coaching sessions are held in secure clinical offices at Rite Aid pharmacies where a Care Coach and pharmacist work with each chronic or poly-chronic patient to address barriers to wellness, achieve health goals, and improve chronic condition management and medication knowledge.

Recently, we published a white paper that outlines the key results associated with the program, including financial savings, health and wellness improvement, and patient satisfaction.

These results include:

  • An estimated $1,719,448 in annual medical cost savings across the study population
  • 40% of patients with a history of poor medication persistence became compliant
  • 41% of patients with non-controlled blood pressure value achieved controlled levels
  • 34% of patients with a goal to reduce their HbA1c had a reduction in their values
  • 83% of patients noted improved knowledge about the treatment options for their condition



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