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How to improve quality, advance equity, and increase affordability?

The Commonwealth Fund’s 18-member Task Force on Payment and Delivery System Reform, applied their collective experience with the best available evidence to recommend federal delivery system reform. NewCourtland Center Director, Mary Naylor, PhD, RN, FAAN, the Marian S. Ware Professor in Gerontology, is a member of this Task Force.

Though the U.S. health care system has been characterized as sophisticated and innovative, for many individuals it still remains inequitable, unaffordable and fragmented. These major failures became more pronounced with the COVID-19 pandemic, but there are substantial opportunities for bipartisan collaboration. Members of the Task Force present a way forward in the decade ahead, informed by their real-world experience as health care leaders, and apply evidence and lessons learned from over 10 years of payment and care delivery experimentation. 

Learn more about the Task Force recommendations for a high-performing delivery system to increase health system preparedness and accountability, strengthen primary care, support patient engagement, reduce administrative burden, and balance regulatory and competitive approaches. Importantly, the Task Force issued a number of policy imperatives to advance racial health equity:

  • Require data by race and ethnicity be collected, publicly reported, and used.
  • Develop, test, and scale payment and delivery models to reduce disparities.
  • Encourage health systems to confront and combat racism in their policies and programs, as well as to meaningfully engage and empower the communities they serve.
  • Expand, diversify, and train the health care workforce.
  • Assess and develop protections against racial bias in health care technology.