Population health management (PHM) is a refined model of care delivery that involves a systematic effort to assess the health needs of a target population and to provide services to maintain and improve the health of that population. population (Sg2 Health Care Intelligence, 2014, p. 1). As health systems look for ways to reduce spending, PHMs may be considered. However, there is confusion and skepticism on the part of PHM. The framework for PHM includes a multi-phase approach consisting of four phases similar to the public health model. The framework is composed of: 1) identification of the population; 2) health assessment; 3) risk stratification; and 4) health continuity. The health continuum helps determine whether someone within a population is at low or no risk, at moderate risk, or at high risk for the selected health complication to be addressed. Depending on the individual's position on the continuum or the extent of risk present ultimately determines the type of health management intervention that should be employed. Health management interventions include preventive services, lifestyle coaching, traditional care, complex care management, palliative and end-of-life care (Sg2 Health Care Intelligence, 2014, p. 2,). PHM is different from what most healthcare systems do today. Healthcare organizations involved in population health must be concerned with all determinants of health, including environmental, social, economic and individual factors. This type of care does not fall within the scope of traditional medicine and it is very difficult for healthcare facilities to implement this strategy on their own. PHM is recommended by Sg2 Health Care Intelligence (2014) to verify clinical alignment and resource effectiveness (CARE).??????? This is networking and partnering with… half the paper… on rates and costs. Telephone education, a core activity of many PHM programs, can promote self-care and patient satisfaction. Remote patient monitoring technology appears to be effective in managing chronic diseases and overcoming the lack of timely data. These technological devices can monitor blood sugar and blood pressure, provide real-time or health status information, and indicate intervention. The use of social networks has also been successful. Many organizations such as Weight Watchers and Alcoholics Anonymous have demonstrated how peer to peer support groups can shape behavior. These types of findings have positively strengthened the development of PHM (Sg2 Health Care Intelligence, 2014, p. 5). Whether an organization decides to use the PHM model or not, there are characteristics that an organization must possess for the change to be successful.