This Viewpoint discusses motivating health care organizations to consider a new set of tools and approaches to disparities in health outcomes by race/ethnicity and income status such as payment systems that reward better outcomes and building equity into program design.
To investigate the effect of financial incentives to reward guideline-recommended hypertension
care, Petersen and coauthors performed a cluster randomized trial of 12 Veterans Affairs
hospital-based outpatient clinics with incentives paid at the physician level, practice level, and
both. In an Editorial, Dolor and Schulman discuss the role of pay for performance in the
transformation of clinical care.