Population Health

Comprehensive Population Health Management

Proactively managing the health of defined populations through data-driven strategies, targeted interventions, and systematic care gap closure.

Advanced Analytics & Risk Stratification

State-of-the-art analytics platform identifies high-risk patients, predicts care gaps, and prioritizes outreach for maximum impact.

  • Predictive risk scoring models
  • Care gap identification & prioritization
  • Real-time dashboard reporting

Targeted Patient Outreach

Proven outreach strategies to connect with difficult-to-reach patients and close preventive and chronic care gaps efficiently.

  • Multi-channel outreach (phone, mail, text)
  • Health literacy-focused communications
  • Language-appropriate materials

Care Gap Closure Programs

Systematic workflows that ensure patients receive needed preventive services, chronic disease monitoring, and follow-up care.

  • Annual wellness visit coordination
  • Chronic condition management
  • Post-discharge follow-up

EHR Optimization & Coding

Uncover system-based errors, improve EHR efficiencies, and identify billing/coding opportunities to maximize revenue and compliance.

  • HCC coding accuracy review
  • EHR workflow optimization
  • Claims troubleshooting

Provider Engagement & Education

Dedicated support team works closely with practices of all sizes to improve quality workflows, measure understanding, and documentation practices.

  • On-site practice support
  • Quality measure training
  • Performance feedback reports

Pay-for-Performance Maximization

Strategic guidance to help providers maximize P4P incentives through improved quality metrics and comprehensive documentation.

  • P4P incentive analysis
  • Quality bonus optimization
  • Benchmark tracking & reporting
Education & Training

Population Health Education Programs

IEFMC partners with RCMA to deliver CME-accredited, practice-transforming education for physicians, fellows, residents, and practice staff.

Fellowship Program

Population Health Fellowship

A structured RCMA/IEFMC fellowship providing advanced population health training for physicians seeking expertise in value-based care, quality improvement, and practice transformation leadership.

  • Advanced value-based care leadership
  • Quality measure mastery (HEDIS, Stars, CAHPS)
  • Care gap strategy & population analytics
  • Practice transformation & capstone project
Grant-Funded · No Cost to Programs

Population Health Residency Curriculum Training

A grant-funded initiative by RCMA/IEFMC for Family Practice, Internal Medicine, and Pediatric residency programs in the Inland Empire — offered at no cost. Two programs selected per academic year.

Duration 10-Month Curriculum
Timeline August 2026 – May 2027
Eligible Programs Family Practice · Internal Medicine · Pediatrics
Slots Available 2 Programs Selected
  • Population health fundamentals & value-based care
  • Faculty development for future curriculum sustainability
  • Real-world workflows & care gap closure training
  • Tailored to Inland Empire residency programs

"Dr. Bittman's Population Health Series was an outstanding and highly practical educational experience for our residents. His sessions addressed important topics often underemphasized in traditional medical training — including navigating real-world challenges physicians face after residency, building a successful practice, understanding insurance systems, and working effectively within hospital organizations. This series bridged the gap between clinical education and the realities of practicing medicine."

— Dr. Alina Popa, Residency Program
Physician Workforce Development

Pathways to Healthcare Transformation

RCMA/IEFMC's commitment to developing innovative, sustainable strategies for attracting, retraining, and sustaining an effective physician workforce to meet the present and future needs of the Inland Empire.

  • Comprehensive Practice Optimization Series
  • Population Health Management Academy
  • Evolving Healthcare Leadership Program
  • Scholarship Program
One-Day Workshop · Medical Office Staff

Comprehensive Practice Optimization Workshop

Date June 10, 2026
Time 8:30 AM – 3:30 PM
Location RCMA · 3993 Jurupa Ave., Riverside, CA 92506
Presenter Evelyn Garcia, COO – RCMA/IEFMC

A special one-day class geared toward medical office staff from all specialties — with a bonus Quality 101 session. Inspired by the book "The Patient Who Swallowed A Mouse," this dynamic workshop delivers evidence-based strategies to streamline operations and maximize your practice's potential.

  • Practice Health Check: Understanding your present state
  • Unlock Hidden Efficiency: Practice operations insights
  • Empower Your Staff: Create a team-based care culture
  • Thrive, Not Survive: Cultivating a healthy work-life balance
  • Set Your Practice on Course: Define your true north
  • Rebuild & Reimagine: Practical strategies for optimization
RCMA/IEFMC Member Staff $169
Non-Member Staff $269

Limit 4 staff per practice

Our Population Health Process

01
Data Ingestion

Claims, EHR & lab data aggregation

02
Risk Stratification

Identify & prioritize care gaps

03
Targeted Outreach

Multi-channel patient engagement

04
Clinical Intervention

Close gaps & deliver care

05
Measure & Report

Track outcomes & refine