The Center on Health Equity Action for System Transformation

Ensuring the Delivery and Payment Reform Tackles Inequities

As a nation, we need an efficient, high-quality, affordable health care system that works for everybody. Compared to other industrialized countries, we pay much more for health care and get much poorer results. But as bad as average health outcomes are in the United States, for some communities they are even worse, because of the enormous racial, ethnic, and other health and health care inequities that persist.

Efforts to improve the cost and quality of health care are ongoing and have centered on transforming our health care system from one that pays for volume to one that rewards value. However, very little attention has been paid to solving for equity, and as a result, health system transformation initiatives that have been implemented thus far have failed to significantly reduce health inequities. Given that we are but one generation away from a workforce that is majority people of color, this is a grave oversight that requires immediate attention. 

The Risk and Opportunity of Payment and Delivery Reform

Payment and delivery reform efforts represent a critical crossroads for health equity.  On the one hand, health equity-centered payment and delivery reforms could focus on eliminating inequities proactively and supporting the care delivery 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.  Unfortunately, we are already seeing some of these negative unintended consequences. To turn this trend around, the voices of the leaders from the most affected communities must be inserted effectively into health system transformation efforts.

The Center on Health Equity Action for System Transformation is the only national entity exclusively dedicated to the development and advancement of patient-centered health system transformation policies designed to reduce racial, ethnic, and geographic inequities. We focus on advancing equity while improving outcomes, increasing value, and lowering costs. We catalyze and coordinate action to develop and implement health equity-focused health care delivery and payment policies.  We achieve impact by partnering with and supporting community leaders, health equity experts, and other stakeholders at national, state, and local levels.

Health Equity Task Force logo
The Task Force convenes key national and state level health equity and system transformation thought leaders to develop and prioritize health equity-centered system transformation policies.
Community Health Worker Sustainability Collaborative
The Community Health Worker (CHW) Sustainability Collaborative works with leaders across the country to secure sustainable, long-term funding for CHWs and improved integration into health care teams.
The Evidence for Equity Initiative focuses on translating and disseminating evidence to help community leaders and decision-makers in developing and implementing effective health equity policies and programs, particularly Patient-Centered Outcomes Research (PCOR) and Comparative Effectiveness Research (CER).

The Center for Health Equity Action for System Transformation is made possible with the generous support of the Robert Wood Johnson Foundation and the Patient-Centered Outcomes Research Institute.