Track: Health and Well-Being
Commitment: Partnering with Purpose
North Star: Strategic Partnerships

Level of Learning: Doer

The workshop will begin with an overview of the social determinants of health as well as definitions that will help participants distinguish individual patient care from population health management. Participants will then review emerging models and concepts for integrating social determinants of health to improve individual patient care and address social challenges such as homelessness and community violence before defining accountable community organization, mobile integrated health, managed care organization, and collective impact. We will also discuss the emerging subject of integrating community data into the individual patient care record to more fully understand social determinants of health-based challenges being experienced by individual patients. Examples include 911 data as well as census data and community health survey data.

During the second part of the workshop, participants will break into teams of 8-10 participants to address topics that include collective impact operating models, data gathering and sharing, and performance-driven funding models that support prevention and demonstrate return on investment. Our goal is to channel the collective wisdom of the group to guide the design of a community integrated health care model that integrates social determinants of health factors and explores the emerging concept of an accountable community organization.

A polling activity will be reviewed and discussed by the large group at the end of the workshop. Our goal will be to evaluate the ideas and interest level for piloting an accountable community organization operating model that bridges the horizontal and vertical operating and financial divides between medical providers and community organizations. All participants at our workshop who provide an email address will be sent a copy of our workshop results summary.

Learning Objectives

  • Determine how social determinants of health can be integrated into individual patient care
  • Understand how collective impact principles can help drive population health improvement
  • Discuss emerging funding methods that support prevention and performance
  • Evaluate the emerging concept of an accountable community organization
  • Design a roadmap for integrating social determinants of health factors into an organization’s operations to improve outcomes for the families and communities they serve


  • Lawrence J. Morrissey, vice president for government relations, Marathon Health (@healthycityusa)
  • Michelle Rosowsky, vice president for business performance and strategy, Marathon Health (@marathonhealth)
  • Dr. Sasha Loffredo, vice president of medical services, Marathon Health (@marathonhealth)

Lawrence J. Morrissey
Vice President for Government Relations
Marathon Health

After 12 years as mayor of the City of Rockford, Larry Morrissey joined Marathon Health as vice president of government sales and relations in 2017. During Morrissey’s time in office, the City of Rockford applied population health approaches to operations like ending veteran homelessness and reducing violent crime while the city turned around a multimillion dollar employee health fund deficit into a surplus.

Morrissey now applies his experience at Marathon Health to helping customers lead grassroots, employer-driven health care revolution. Working with local governments and private employers, Marathon Health clinics serve over 300,000 members at over 140 sites in over 40 states, where they pursue the Healthcare Triple Aim of better patient experience, better health outcomes, and lower cost.

Michelle Rosowsky
Vice President for Business Performance and Strategy
Marathon Health

Michelle Rosowsky is the vice president for business performance and strategy at Marathon Health. She is responsible for identifying internal and external opportunities to improve Marathon Health’s business performance and to maximize value for its customers. Prior to coming to Marathon Health, Rosowsky worked as a consultant on outcomes assessment for colleges and universities, and has also worked in sports marketing, corporate fitness, market research, and as a writer and editor.

Rosowsky has a master's in business administration, a master's in rhetoric, and a bachelor's in exercise science, and holds a certificate in health care administration.

Dr. Sasha Loffredo
Vice President of Medical Services
Marathon Health

Alexandra “Sasha” Loffredo is a family physician and vice president of medical services at Marathon Health. She received her medical degree from the University of Vermont and completed her residency training in family medicine at the Hunterdon Medical Center in New Jersey. Prior to becoming a physician, Dr. Loffredo earned her master's in regional planning from the University of North Carolina at Chapel Hill.