Value-based care (VBC) can fail to account for differences in health needs among underserved populations—particularly in areas such as clinical guidelines, evaluation metrics, and risk adjustment. To assure equity in VBC arrangements for people of color, low-income populations, and rural populations, there six design domains that should be addressed in the development of VBC programs—payment systems, delivery system investments, community partnerships, inclusiveness of the evidence-base, equity-focused metrics, and workforce diversity. These are the findings and recommendations of researchers at Families USA.
The findings and recommendations were reported in “A Health Equity and Value Framework . . .