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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Making equity a value in value-based health care.

Philip M Alberti1, Ann C Bonham, Darrell G Kirch

  • 1Dr. Alberti is senior director, Health Equity Research and Policy, Association of American Medical Colleges, Washington, DC. Dr. Bonham is chief scientific officer, Association of American Medical Colleges, Washington, DC. Dr. Kirch is president and CEO, Association of American Medical Colleges, Washington, DC.

Academic Medicine : Journal of the Association of American Medical Colleges
|September 28, 2013
PubMed
Summary
This summary is machine-generated.

Achieving health equity requires linking legislation like the Affordable Care Act with value-based care. This approach incentivizes reducing health disparities for minority and low-income groups.

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Published on: January 12, 2018

Area of Science:

  • Health Services Research
  • Health Policy
  • Health Equity Studies

Background:

  • Persistent health inequities exist in the US, with minority and low-socioeconomic status populations experiencing worse health outcomes and higher mortality.
  • Despite understanding the factors contributing to health disparities, effective solutions remain elusive.
  • Social, structural, and individual factors significantly contribute to the maintenance and creation of health inequities.

Purpose of the Study:

  • To explore how existing and proposed legislation can be integrated with value-based healthcare models to incentivize the reduction of health disparities.
  • To propose a framework for leveraging policy interventions to advance health equity in the United States.
  • To identify strategies for the healthcare system to address social determinants of health and promote equitable care.

Main Methods:

  • Analysis of disparities-related provisions in the Affordable Care Act and other recent legislation.
  • Exploration of how payment reform, health information technology, community health needs assessments, and health equity research can be combined.
  • Conceptualizing the integration of policy interventions with value-based care requirements and payment models.

Main Results:

  • Legislation can be strategically linked with value-based care to create incentives for narrowing health care disparities.
  • Policy interventions can enable the healthcare system to better identify and utilize community assets.
  • The proposed approach can lead to the provision of high-quality, more equitable care, demonstrating a commitment to health equity.

Conclusions:

  • Integrating legislative provisions with value-based healthcare models offers a promising pathway toward achieving health equity.
  • While not solely sufficient, policy interventions at clinical and payer levels are crucial for addressing health disparities.
  • The healthcare system can play a vital role in promoting health equity by addressing social determinants and demonstrating a value for equity in practice.