Aligning U.S. Spending Priorities Using the Health Impact Pyramid Lens - RWJF Alignment
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Timely Postpartum Visits for Low-Income Women: A Health System and Medicaid Payer Partnership
Publication

Aligning U.S. Spending Priorities Using the Health Impact Pyramid Lens

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This article examines the need to integrate and align public health, social services, and medical care in the United States through the lens of Thomas Frieden’s “health impact pyramid.”

The “health impact pyramid” presents a hierarchy in which the wide base of the pyramid of socioeconomic factors at a population level has more impact on the health of the public than do individually focused interventions at the pyramid’s top. From this pyramid perspective, the United States’ spending priorities are misaligned, as expenses targeted at public health and socioeconomic factors are far outstripped by spending on individual health care services at the top of the pyramid.

These findings are part of a collection of 15 new studies released on July 14, 2020 in a special issue of the American Journal of Public Health, all focused on the topic of aligning health and social systems to improve population health.

Components of Alignment

Financing Icon Financing

Author Organization

Systems for Action

Publication Date

07.14.2020

Topic Area

Alignment 101
Health Care
Public Health
Social Needs
Publication

A Foundation For Health And Well-Being: Meaningful Employment

This publication explores how Employment and Community First Choices, a program for people with intellectual and developmental disabilities, created and paid for by TennCare, Tennessee's Medicaid program, helps participants work and live independently.

Webinar

Aligning in Crisis: Strategies and Tools to Leverage Federal Funding

On 9/14, experts from Aligning in Crisis, with support from the Robert Wood Johnson Foundation, will discussed how, if deployed strategically and effectively, federal funds can advance equity, shift power to the community, and set the stage for positive, long-term change.

Brief

Putting Shared Stewardship into Practice: Palm Beach County and 5 Healthy Towns, Michigan

This brief explores how stewards in Palm Beach County, Florida and a five-town region in southeast Michigan determined how to reallocate resources to create more equitable regional systems for health and well-being.

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