Opinion: Keep equity in mind when moving to value-based payment

Value-based care champions health and justice by focusing on outcomes rather than on units of service. As this type of payment reform expands, implementing the necessary changes to enable it must operate from a frame of equity rather than equality.

Working toward equality means giving different groups the same opportunities, while working towards equity means giving different groups different opportunities according to their needs. Health equity requires recognizing that systems of care are yielding different results for different populations due to underlying systemic differences, so the solutions to improving health and health care need to be different as well.

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