{"doi":"10.1377/hlthaff.2016.0979","title":"Solving Disparities Through Payment And Delivery System Reform: A Program To Achieve Health Equity","abstract":null,"journal":"Health Affairs","year":2017,"id":657701,"datarank":3.1205048627177794,"base_score":3.8918202981106265,"endowment":3.8918202981106265,"self_citation_contribution":0.5837730447165941,"citation_network_contribution":2.536731818001185,"self_endowment_contribution":0.5837730447165941,"citer_contribution":2.536731818001185,"corpus_percentile":null,"corpus_rank":null,"citation_count":48,"citer_count":35,"citers_with_citation_signal":25,"citers_with_endowment":25,"datacite_reuse_total":2,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1716887,"name":"Lucy J. 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In 2013 the Finding Answers: Solving Disparities through Payment and Delivery System Reform program of the Robert Wood Johnson Foundation sought to understand how alternative payment models might intentionally incorporate a disparities-reduction component to promote health equity. A qualitative analysis of forty proposals to the program revealed that applicants generally did not link payment reform tightly to disparities reduction. Most proposed general pay-for-performance, global payment, or shared savings plans, combined with multicomponent system interventions. None of the applicants proposed making any financial payments contingent on having successfully reduced disparities. Most applicants did not address how they would optimize providers' intrinsic and extrinsic motivation to reduce disparities. A better understanding of how payment and care delivery models might be designed and implemented to reduce health disparities is essential.","is_dataset_classified":null,"base_score":3.8918202981106265,"endowment":3.8918202981106265,"datacite_reuse_total":2,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"28583973","pmcid":null,"openalex_id":"https://openalex.org/W2624279229","authors":[],"funders":[{"funder_name":"NIDDK NIH HHS","grant_id":"P30 DK092949","title":null},{"funder_name":"AHRQ HHS","grant_id":"T32 HS000084","title":null},{"funder_name":"NIDDK NIH HHS","grant_id":"K24 DK071933","title":null}],"total_grants":3,"fwci":8.6379,"citation_percentile":0.97591382,"influential_citations":0,"citation_trend":[{"year":2017,"count":2},{"year":2018,"count":7},{"year":2019,"count":4},{"year":2020,"count":5},{"year":2021,"count":16},{"year":2022,"count":6},{"year":2023,"count":4},{"year":2024,"count":1},{"year":2025,"count":2},{"year":2026,"count":1}],"oa_status":"bronze","license":null,"oa_locations":[{"url":"https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2016.0979","host_type":"journal"},{"url":"https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2016.0979","host_type":"publisher"},{"url":"http://www.healthaffairs.org/doi/10.1377/hlthaff.2016.0979","host_type":"publisher"},{"url":"https://doi.org/10.1377/hlthaff.2016.0979","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/28583973","host_type":"repository"}],"fields_of_study":["Primary Care and Health Outcomes","Healthcare Policy and Management","Chronic Disease Management Strategies","Delivery of Health Care","Fee-for-Service Plans","Health Care Reform","Health Equity","Healthcare Disparities","Humans","Reimbursement Mechanisms","Reimbursement, Incentive","United States"],"mesh_terms":["Health Equity","Delivery of Health Care","Humans","Reimbursement Mechanisms","Reimbursement, Incentive","United States","Health Care Reform","Fee-for-Service Plans","Healthcare Disparities"],"keywords":["Payment","Equity (law)","Health equity","Psychological intervention","Business","Public economics","Actuarial science","Health care","Finance","Economics","Medicine","Nursing","Economic growth","Political science","Equity","Disparities","Care Transformation"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Partnerships for the goals"}],"linked_datasets":[{"doi":"10.6084/m9.figshare.14752313.v1","title":"Additional file 1 of Impacts of innovation in dental care delivery and payment in Medicaid managed care for children and adolescents","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.14752313","title":"Additional file 1 of Impacts of innovation in dental care delivery and payment in Medicaid managed care for children and adolescents","publisher":"figshare","resource_type":"JournalArticle"}],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-12T02:04:58.216660Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}