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Funded Pilot Projects

In 2014, we worked with the Robert Wood Johnson Foundation (RWJF) to expand our focus by examining disparities interventions in the context of innovative ways to pay for care. 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.

The program’s core goals were to:

The program managed three pilot projects working to achieve disparities reductions through a combination of payment and delivery reform. 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.

Key Findings

The three grantee projects have now finished. From their results, Finding Answers has compiled comprehensive lessons learned to help other organizations as they combine payment reform and care delivery reform for optimal effectiveness in reducing health care disparities. You can read the lessons-learned here.

Among the key findings:

Our recommendations include:

National Program Office

Under the co-direction of Marshall H. Chin, MD, MPH and, Scott Cook, PhD, 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.