According to the American Hospital Association, “Population Health Management refers to the process of improving clinical health outcomes of a defined group of individuals through improved care coordination and patient engagement supported by appropriate financial and care models.” As an integral part of Jackson Health Network, Population Health Management is comprised of several programs aimed at providing risk-level appropriate interventions to a group of targeted individuals. Whether keeping healthy populations well, or mitigating the progression of disease, our focus is patient-centered and has a strong emphasis on providing care that addresses the medical, social and behavioral needs of the people served.