ACO REACH And Advancing Equity Through Value-Based Payment, Part 1

Health Affairs May 17, 2022
William K. Bleser, Yolande Pokam Tchuisseu, Humphrey Shen, Andrea Thoumi, Chinmay Amin, Deborah R. Kaye, Mark B. McClellan, Robert S. Saunders

Given the wide expansion of value-based payment (VBP) models in the United States, VBP can be a useful tool for reducing health inequities and advancing equity goals. VBP models provide more flexibility to address social drivers of health (SDoH); they provide services and care coordination that are not typically covered but may be particularly important for people experiencing worse outcomes due to socioeconomic status, race, ethnicity, or other factors.

However, some evidence suggests that the uptake of VBP models has lagged in marginalized populations, and that in some circumstances, VBP could exacerbate disparities. Consequently, many VBP models are now adopting a more intentional focus on equity, such as the Oregon Health Authority’s Coordinated Care Organizations 2.0 model and Supporting...

Today's Sponsors

Today's Sponsor