Health Equity and Value

Using Delivery and Payment Transformation to Tackle Inequities

Expanding Health Care “Value” to Encompass Health Equity

For communities of color and other groups struggling with health inequities, 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 paid for the quantity of services they provide, to a value-based system, which rewards quality outcomes, is an opportunity to improve quality and decrease cost, and also to address longstanding inequities.  

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.  

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 a transformed, high-value, affordable, and equitable health care system, the communities most affected by inequities must be included in all phases of policy development, decision making and implementation. Moreover, it’s imperative that their voices and priorities be  elevated in national, state, and local policy dialogues about how to transform the health system to better meet their needs and to help dismantle generations of discrimination and disregard.  

Families USA working with partners to create an equitable health care system that works for everyone

To ensure our future prosperity, we must work together to build a transformed health care system that efficiently provides affordable, high quality, high-value, and equitable care for everyone. Families USA is collaborating with partners across the nation to build a health equity-focused system transformation movement and develop and advocate for policies that will t transform our health care system to one that provides every single person with the care and support they need to be healthy and thrive. 

Families USA’s Health Equity Task Force for Delivery & Payment Transformation

The Health Equity Task Force for Delivery and Payment Transformation brings together national health equity thought leaders and advocates to ensure that ongoing efforts to reform how health care is delivered and paid for reduce racial, ethnic, and geographic health inequities, rather than make them worse.  The Task Force fills a critical void in the health system transformation dialogue, where has largely not included the voices and interests of communities of color and other disadvantaged groups. Find out more about the Task Force, its members, and specific policy options for advancing equity through system transformation here

The Community Health Worker Sustainability Collaborative 

Community Health Workers (CHWs) are a shining example of the kinds of care delivery models and interventions that clearly reduce health inequities, yet aren’t effectively integrated into health care delivery or sustainably financed. The Community Health Worker Sustainability Collaborative works closely with national and state partners to promote strategies and concrete policies for securing sustainable funding for CHW programs and including them in care teams while maintaining their community focus. Because CHWs come from the communities they serve or otherwise share lived experience with their clients, they are especially effective in addressing the non-clinical, socially-shaped factors that drive inequities, including but not limited to housing, education, literacy, low income, English language proficiency, and discrimination. Visit our CHW Resource Hub for more information.