Seattle at dusk.

This item caught our attention in part because Cambridge Management Group has done a great deal of work on population-health and social-determinants-of-health in Washington State and Oregon, led by our senior adviser Marc Pierson, M.D.

Jarrad Aguirre, an M.D. and MBA student, writes in HealthAffairs that the Bill & Melinda Gates Foundation has a huge opportunity  to use Washington State, its home, as a giant demonstration project  to  address the social determinants of health by building Accountable Communities of Health  (ACHs) that improve community engagement, encourage multi-sector participation and use  “transformation projects”  that look beyond investments in the most expensive adults and invest in upstream social determinants and in children.