Reducing Health Care Disparities through Payment Reform

How can we deliver and pay for care in a way that reduces disparities? While much is now known about how to identify and reduce disparities via quality improvement, such programs are often under-resourced or not financially feasible for the long-term. Payment reform may be a potential solution, but reforms that do not explicitly consider disparities run the risk of unintentionally exacerbating or creating disparities.

In 2014, the Robert Wood Johnson Foundation (RWJF) funded Finding Answers to expand its focus to examine disparities interventions in the context of innovative ways to pay for care.

NEWS: "Creating the Business Case for Achieving Equity," a recent paper in the Journal of General Internal Medicine by Marshall Chin MD, MPH (Program Director), suggests that changing the way we pay for health care could help reduce disparities—if it’s done right. Press release


The Finding Answers: Payment Reform and Disparities program’s core goals are to:

  • Explore promising ways to reduce disparities by paying for care differently
  • Share practical lessons to inform other organizations who want to do similar work

Funded Pilot Projects

Finding Answers manages three pilot projects working to achieve these goals. Click on the links below to explore our grantees’ work:

George Mason University, Virginia

Improving screening and disease management for diverse, multilingual patients at safety-net clinics in northern Virginia using team quality improvement incentives.

Icahn School of Medicine at Mount Sinai, New York

Ensuring postpartum care for Medicaid-covered, high-risk, mostly minority women in a New York City health system through physician incentives and coordinated care.

University of Washington, Oregon

Community-based oral health care for mothers and children in rural Oregon using expanded-practice dental hygienists, global budgeting and a team payment incentive.

National Program Office

Under the direction of Marshall H. Chin, MD, MPH, the national program office continues to contribute to national conversations about reducing disparities. See our News and Publications pages for the most up-to-date information and links to our work.