Health systems are increasingly focused on value-based care, yet many struggle to integrate health equity into their efforts to increase lives under risk. Aligning health equity with value-based care is essential for improving outcomes and reducing disparities, but translating this value into actionable strategies remains a challenge for health equity leaders.
This roundtable explores practical approaches for advancing health equity as a key strategic enabler, especially within value-based care models. From navigating payer-provider dynamics to incentivizing health equity investments, this session provides actionable insights for relationship-building between health equity leaders and value-based care executives.
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Key Takeaways
Value-based care can be a vehicle for strategic integration of health equity into health systems' growth strategy. Arguments grounded in health equity can be leveraged to secure fee-for-service (FFS) unit cost increases during payer negotiations.
Demonstrating disparate outcomes across multiple demographics (e.g., race and ethnicity combined with rural outcomes) can be a compelling argument in payer negotiations. Payers are increasingly integrating incentives for disparity reduction into value-based contract negotiation, providing a clear opportunity for health equity leaders to partner with value-based care leaders.
Payvider organizations have a unique opportunity to collaborate on health equity investments between their payer and provider arms. Examples include joint outreach and/or educational efforts, co-development of health equity programs, as well as opportunities to propose and test clinical protocol changes designed to eliminate disparities.