Using Provider Payment to Reduce Disparities: Lessons from Two Medicaid Health Plans

CHCS February 5, 2025
Anne Smithey, Center for Health Care Strategies, Victoria Gersch, Community Health Plan of Washington, and Kevin Leonard, AmeriHealth Caritas Delaware

As Medicaid payers explore methods to improve health outcomes, many are focusing on the potential of value-based payment (VBP) programs that explicitly incentivize providers to address health disparities. Designing such VBP programs requires thoughtful decision-making on which disparities to prioritize, how to measure them, and how to define success.

Two Medicaid health plans, AmeriHealth Caritas Delaware and Community Health Plan of Washington, have been refining VBP programs since 2019 as members of the Advancing Health Equity learning collaborative. This blog post explores their distinct VBP approaches and shares key lessons, including facilitators and challenges, for developing and implementing VBP programs to reduce health disparities.

AmeriHealth Caritas Delaware

AmeriHealth Caritas Delaware (ACDE), part of a national plan, serves more than 100,000...

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