Population Needs Assessment Provider Bulletin

As outlined in All Plan Letter (APL) 23-021 that supersedes All Plan Letter (APL) 19-011, health plans are required to conduct a multi-year Population Needs Assessment (PNA) process with Local Health Departments (LHD) and submit an annual Population Health Management (PHM) strategy that will demonstrate meaningful engagement in responding to community needs. The goal of this redesigned process seeks to establish a cohesive, statewide framework of expectations for health plans and their subcontractors and/or network providers, to prioritize prevention and whole-person care, as well as respond to members’ medical and social needs and preferences across the continuum of care within the communities in which they live.

Anthem Blue Cross’ Population Health Management strategy submission includes the following requirements:

• Attestation of engagement with LHD and initial meeting and planning conducted with LHD in each jurisdiction the health plan will serve as the prime health plan in 2024
• Attestation of collaboration with LHD on community specific SMART goal creation
• Health plan annual PNA requirement will be met through the publication in each county of the LHD Community Health Assessment (CHA)/Community Health Improvement Plan (CHIP) itself. Health plans will be expected to publish all LHD CHAs/CHIPs in their areas of operation on their website along with a brief description of how they participated in the CHA/CHIP process

In accordance with APL 23-021, contracted healthcare providers must receive pertinent information regarding the new PNA process and Annual Population Health Management strategy. To locate the most current Population Needs Assessment report, please use the following Provider Training Academy (under Cultural Competency resources) link: Provider Training Academy | California Provider - Anthem Blue Cross