Health Care Equity

Related Issues

Racial and ethnic disparities in health care are the result of complex issues that cannot be eliminated with a single strategy or by any one group. Efforts to address inequities and gaps in care require a clear vision, strong leadership, systematic change, and collaboration among key stakeholders, including consumers, clinicians, hospitals, employers, health plans, government agencies, and the community at large.

Health plans play a key role initiating and leading change in the collection of data on race, ethnicity, and primary language; cross-cultural communication training of health care professionals; improvements in clear health communication; development of quality improvement programs to reduce disparities; and measuring progress over time.

 

Health Care Equity Core Elements


Health Literacy
A promising approach to improving health care quality and reducing disparities is the use of clear and effective health communication. Clear and simple health information enhances a consumer’s ability to effectively navigate the health care system and make well-informed decisions. A growing number of health plans are actively engaged in working to improve health literacy, either as a self standing initiative or through their disparities and quality improvement efforts.

Data Collection on Race, Ethnicity and Language 
Strong evidence suggests that race, ethnicity, language and socio-cultural factors impact how health care is accessed and delivered. Collection of these data are vital for identifying variations in the quality of care experience among different groups; developing and implementing effective prevention and treatment strategies; and facilitating the provision of culturally and linguistically appropriate health care.

From 2003-2011, the AHIP Foundation collaborated with the Robert Wood Johnson Foundation (RWJF) to assess the extent to which health plans collect and use data on their members’ race, ethnicity, and language to improve quality and health care equity. Four representative surveys of the industry (2003, 2006, 2008, and 2010) highlight the experience of commercial, Medicare Advantage, and Medicaid plans.

Language Access 
Health plans have a long standing tradition and commitment to support efforts to improve language and culturally appropriate communications by increasing the availability of language access services and developing culturally-appropriate educational materials in multiple languages to better reach a diverse membership.

Cultural Competency 
Health plans recognize the importance of understanding cultural differences and their impact on how individuals access appropriate health care services and manage their health. Cross-cultural programs geared for diverse audiences and training for health care professionals can build a solid foundation to improve quality of care and reduce health care disparities among our nation’s growing diverse population. 

Measuring Quality Improvement and Disparities-Reduction 
Health plans have a tradition of sharing information on successful models to encourage adoption of proven strategies. Health plan case studies featuring innovative practices demonstrate improvements and lessons towards achieving health care equity. These programs serve as examples of promising approaches for institutionalizing meaningful change.

Collaborations 

 

Latest Documents

Collection of Language Data and Services Provided by Health Plans

Health plans have made substantial progress in the collection of language data and many are offering options for language services.

Articles | Clinical Affairs | 12/19/2011

Effective Strategies to Promote Influenza Vaccine Uptake Among Culturally Diverse Populations

Effective Strategies to Promote Influenza Vaccine Uptake Among Culturally Diverse Populations

Multimedia Library | 11/10/2011

AHIP’s Flu Outreach Campaign Flyer - [PDF]

Each year more than 200,000 people are hospitalized from flu. Dont let the flu interrupt your time together. EVERYONE 6 months of age and older should be immunized. A flu vaccine reduces your risk of illness, hospitalization, or even death and can prevent you from spreading the virus to your loved ones. Protect your fa

PSA | 10/03/2011

Collection of Race and Ethnicity Data by Health Plans Has Grown Substantially, But Opportunities Remain to Expand Efforts, Health Affairs

Collection of Race and Ethnicity Data by Health Plans Has Grown Substantially, But Opportunities Remain to Expand Efforts, Health Affairs

Articles | 10/01/2011

A Legal Perspective for Health Insurance Plans: Data Collection on Race, Ethnicity, and Primary Language - [PDF]

Since 2003, Americas Health Insurance Plans (AHIP) and its member companies have been working to increase awareness on the importance of collecting race, ethnicity, and primary language data of its enrollees to address disparities in health care and improve overall quality of care for all Americans.

Reports/Fact Sheets/Briefs/Talking Points | 03/01/2009

Improving Quality: Achieving Health Care Equity - [PDF]

AHIP and its member companies recognize that racial and ethnic disparities in health care are the result of complex issues that cannot be eliminated with a single strategy or by any one group. Efforts to reduce inequities and attain true progress will require a clear vision, strong leadership, systematic change and collaboration among key stakeholders, including consumers, clinicians, hospitals, employers, health plans, government agencies, and the community at large. Health plans play key roles initiating and leading change in the collection of data on race, ethnicity, and primary language; cross-cultural communication training of health care professionals; improvements in clear health communication; development of quality improvement programs to reduce disparities; and measuring progress over time.

Reports/Fact Sheets/Briefs/Talking Points | Clinical Affairs | 03/01/2009

Collection and Use of Race and Ethnicity Data for Quality Improvement–2006 AHIP- RWJF Survey of Health Insurance Plans - [PDF]

Over the past three years, health insurance plans have made significant strides in collecting race and ethnicity data of enrollees to help reduce disparities.  

Reports/Fact Sheets/Briefs/Talking Points | 11/01/2006

Health Insurance Plans Address Disparities in Care: Highlights of AHIP/RWJF Quantitative and Qualitative Research - [PDF]

Health Insurance Plans Address Disparities in Care: Highlights of AHIP/Robert Wood Johnson Foundation Quantitative and Qualitative Research Grant Provided By: 3 Health Insurance Plans Address Disparities in Care: Highlights of AHIP/Robert Wood Johnson Foundation Quantitative and Qualitative Research BACKGROUND . . . .

Reports/Fact Sheets/Briefs/Talking Points | 10/01/2005

Health Insurance Plans Address Disparities in Care: Challenges and Opportunities - [PDF]

In 2002, the Institute of Medicine (IOM) released a landmark report indicating that racial and ethnic minorities receive lower quality health care than non-minorities.

Reports/Fact Sheets/Briefs/Talking Points | 06/01/2004

Health Insurance Plans Address Disparities in Care: Highlights of a 2004 AHIP/RWJF Survey - [PDF]

Health Insurance Plans Address Disparities in Care: Highlights of a 2004 AHIP/RWJF Quantitative Survey Collection and Use of Data on Race and Ethnicity Collection and Use of Data on Race and Ethnicity Americas Health Insurance Plans Background FAST FACTS The 137 plans that responded to the survey represent 88.1 million

Reports/Fact Sheets/Briefs/Talking Points | 06/01/2004

Amerigroup: Coordinated Case Management

AHIP member company produced video - Amerigroup: Coordinated Case Management

Multimedia Library

Amerigroup: Dedicated Doctors and Nurses

AHIP member company produced video - Amerigroup: Dedicated Doctors and Nurses 

Multimedia Library

BCBS of Massachusetts: The Alternative Quality of Contract

AHIP member company produced video - BCBS of Massachusetts: The Alternative Quality of Contract 

Multimedia Library

EmblemHealth: Finding Creative Ways for a Patient to Afford Treatment

 

Multimedia Library | Center for Policy and Research

EmblemHealth: Overcoming Alcoholism and Addressing Unmet Medical Needs

 

Multimedia Library | Center for Policy and Research

EmblemHealth: Reaching Out to Patients with Complex Conditions

 

Multimedia Library | Center for Policy and Research

Excellus BCBS: Keeping Medications Affordable

Excellus Blue Cross Blue Shield - Keeping Medications Affordable

Multimedia Library | Center for Policy and Research

Excellus BCBS: Overcoming Confusion about Medications after a Hospital or Rehab Stay

Excellus Blue Cross Blue Shield Video - Overcoming Confusion about Medications after a Hospital or Rehab Stay

Multimedia Library | Center for Policy and Research

Excellus BCBS: Protecting Patients from Adverse Drug Interactions

Excellus Blue Cross Blue Shield Video - Protecting Patients from Adverse Drug Interactions

Multimedia Library | Center for Policy and Research

Group Health Cooperative: Living Well with Chronic Conditions

AHIP member company produced video - Group Health Cooperative: Living Well with Chronic Conditions 

Multimedia Library

Group Health Cooperative: The Medical Home

AHIP member company produced video - Group Health Cooperative: The Medical Home

Multimedia Library

HealthPartners: Achieving Results that Make a Difference for Diabetes Patients

HealthPartners Video - Achieving Results that Make a Difference for Diabetes Patients

Multimedia Library | Center for Policy and Research

HealthPartners: Coaching Patients on Reaching Goals for Better Health

HealthPartners Video - Coaching Patients on Reaching Goals for Better Health

Multimedia Library | Center for Policy and Research

HealthPartners: Empowering Patients with Diabetes to Improve Their Health

Health Partners Video - Empowering Patients with Diabetes to Improve Their Health

Multimedia Library | Center for Policy and Research

HealthPartners: The Diabetes Wizard

HealthPartners Video -The Diabetes Wizard

Multimedia Library | Center for Policy and Research

Humana: Humana Cares

AHIP member company produced video - Humana: Humana Cares

Multimedia Library

Independence Blue Cross: Enabling Doctors and Nurses to Realize their Goals for Excellence

Independence Blue Cross video -  Enabling Doctors and Nurses to Realize their Goals for Excellence

Multimedia Library | Center for Policy and Research

Independence Blue Cross: Teaming Up to Address Patients’ Many Needs

Independence Blue Cross's doctors, nurses, medical assistants, and pharmacists work together to make sure that patients have the lab tests, primary and specialty care, and patient support they need to live healthy lives.

Multimedia Library | Center for Policy and Research

Kaiser Permanente: Making Exercise a Vital Sign

Kaiser Permanente Video - Making Exercise a Vital Sign

Multimedia Library | Center for Policy and Research

Kaiser Permanente: Offering Culturally Sensitive Counseling for Weight Loss

Kaiser Permanente Video - Offering Culturally Sensitive Counseling for Weight Loss

Multimedia Library | Center for Policy and Research

Kaiser Permanente: Using Web-Based Learning and Social Media to Help Patients Lose Weight

Kaiser Permanente Video - Using Web-Based Learning and Social Media to Help Patients Lose Weight

Multimedia Library

Molina: Shots for Shorties and Check Up or Check Out

AHIP member company produced video - Molina: Shorts for Shorties and Check Up or Check Out 

Multimedia Library

SCAN Health Plan: A Better Way to Care

AHIP member company produced video - SCAN Health Plan: A Better Way to Care 

Multimedia Library