Improving Outcomes for Specific Patient Populations and Conditions
Population health management involves targeting specific patient populations––such as people with diabetes, maternal health issues, or cancer. Providers collaborate to create specific standardized treatment goals and interventions. Hospitals track specific populations through:
- Detailed reports from health insurers
- Patient medical records
- Nurse care managers
- Community health workers
- Social workers

Food Insecurity
The direct connection between food security and proper nutrition, and better health is well-documented. Yet, in Pennsylvania, more than one in ten Pennsylvanians are food insecure.In Pennsylvania,
- Food insecurity is reduced (by one-fifth overall, and one-third for children) when families get SNAP
- Compared to low-income adults without SNAP, those who participate in SNAP have 25 percent less in health care expenditures
- Low-income adults who struggle with chronic disease and participate in SNAP have even greater reductions in health care expenditures