Health Equity and Value

Using Payment and Delivery Reform to Tackle Inequities

Expanding Health Care “Value” to Encompass Health Equity

For communities of color and other groups struggling with health disparities, ongoing payment and delivery reform efforts present both substantial risk, and potentially great reward. Moving away from a fee for service system, where providers are compensated based on the volume of services they provide, to a value-based system, which rewards quality outcomes, offers an opportunity not only to improve quality and decrease cost, but also to address longstanding inequities.  

Health equity centered payment and delivery reforms could proactively focus on reducing inequities and supporting the models and interventions that accelerate disparity reduction. However, new payment systems that are designed and implemented without consideration of the impact on communities of color, complex patients, and other disadvantaged groups, could further undermine the health of communities that are already struggling. 

Given changing demographics in our nation, the future sustainability and success of our healthcare system hinges on it evolving to provide the highest quality care to an increasingly diverse population that faces a wide variety of health risks and challenges.  To achieve this goal, the communities most affected must be included at decision-making tables and elevated in national, state, and local policy dialogues about how the health system should be transformed to better meet their needs and to help dismantle generations of discrimination and disregard.

Families USA is working with partners across the nation to build momentum towards transforming our health care system to one that provides every single person with the care and support they need to be healthy and thrive.