Centering Equity in Health Care Delivery and Payment Reform: A Guide for California Policymakers


California has led the nation in expanding access to health care for all. Yet communities of color, lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals, and persons with disabilities, continue to experience disparities in care and health outcomes. Despite a stated commitment to addressing these disparities and years of effort, state policymakers, health plans, systems, and providers have still not made significant progress. The data on persistent health inequities, including recent data on the disparate impacts of COVID-19 on communities of color, as well as the lived experience of people of color, points to a health care system that, as currently designed, often makes health outcomes worse through discriminatory treatment, high rates of uninsurance, geographic provider shortages, medical errors, lack of patient safety, and uncoordinated and late care, particularly for communities of color. The challenge to address systemic racism presented by this historic moment, only further heightens the imperative for California policymakers and stakeholders to implement specific actions to advance racial equity now.

Center Equity in Quality and Payment

Engage Patients, Families and Caregivers

Strengthen Culturally and Linguistically Appropriate Care

Improve and Integrate Physical, Behavioral, and Oral Health Care

Hold Health Plans and Systems Accountable

Improve the Social Determinants of Health

Date last updated: January 29, 2021