Health Equity & Access

Value-based care is focused on improving quality of care (including patient experience), stabilizing health care costs, improving population health, and enhancing provider & health care staff experience. To address the quadruple aim of health care reform to a value-based care model, it is required to recognize that access to health care and the social factors that drive health is not equal across populations. 

Quadruple Aim

  • Enhancing experience
  • Improving population health
  • Stabilizing health care reform
  • Improving provider satisfaction

Addressing health equity is a national and state priority. Health Equity Should Be A Key Value In Value-Based Payment And Delivery Reform | Health Affairs 

 

Health Equity Fundamentals

Health Equity Definition:

The attainment of the highest level of health for all people*. Addressing health equity requires that we value everyone equally and intentionally work to address health disparities and the inequities that cause them. 

What contributes to health equity?

Health disparities, or differences in health outcomes that are preventable and closely linked to social or economic advantage, are driven by unequal access to things like housing, transportation, education, food, safe spaces to be active, as well as prejudice or discrimination. Often referred to as the social determinants of health, these key factors have tremendous influence over our health, and happen outside the doctor’s office.  

How does health equity make health care better for everyone?

Distinction between “health equity” and “diversity, equity, and inclusion (DEI)”

At OneCare Vermont we recognize that the social determinants of health, as well as health care access, contribute to the overall health of our state. Our health equity work is guided by OneCare Vermont’s strategic plan (link) and our Diversity, Equity, and Inclusion work plan. We are committed to examining our organization’s role in addressing health equity as part of healthcare reform.  

We also distinguish our work around health equity from the complimentary, but distinct, efforts we are taking as an organization to address diversity, equity, and inclusion in our workforce and provider network.  

JAMA Health Forum – Health Policy, Health Care Reform, Health Affairs | JAMA Health Forum | JAMA Network

*Healthy People 2030

How OneCare Addresses Health Equity &
Promotes Health Care Access

As Vermont’s statewide ACO, OneCare Vermont is focused on advancing health equity through robust measurement, thoughtful design and evaluation of our new and existing programs, and support of aligned policy work.  

Measurement: Are the data we collect sufficient to measure different impacts across populations?

  • Collecting race/ethnicity data in a standardized way, 
  • Updating patient survey data to incorporate equity, 
  • Incorporating SDOH screening tools, 
  • Stratifying a subset of quality measures by social determinants of health.

Programs: For new and existing programs how can this work can reduce health inequities?

  • Collecting race/ethnicity data in a standardized way, 
  • Updating patient survey data to incorporate equity, 
  • Incorporating SDOH screening tools, 
  • Stratifying a subset of quality measures by social determinants of health.

Policy: How can we lend our organizational support to state and federal policies that address health equity?