Reducing Health Care Disparities through Payment and Delivery System Reform

  • Release Date: March 7, 2014


This call for proposals will fund up to three implementations of paired health care payment and delivery system changes that incorporate a focus on reducing disparities in care and/or outcomes.

The goal of this call for proposals is to develop evidence that payment and delivery system reform designs that attempt to manage extrinsic and intrinsic incentives for overall quality and efficiency, while also explicitly attempting to reduce health care disparities, can produce positive results for each goal.

Our hope is that the knowledge gained through these grants will inform the development of new care delivery and payment models, by demonstrating potential ways to build-in a financially-supported focus on equity. The grants will also inform health care organizations and providers with new practices for developing and implementing disparities interventions within the context of new and emerging payment models.

Total Awards

  • The program will award up to three grants.
  • Each grant will be up to $500,000.
  • Each grant will last up to 3 years.

Key Dates

Brief proposal applicant webinars:
Recordings are available below. Please note that the presentation is essentially the same for both webinars. Question and Answer sessions begin around minute 23 in both recordings.
           Slides (PDF)
March 17, 2014 (2−3 p.m. ET)
March 21, 2014 (11:30 a.m.−12:30 p.m. ET)

April 18, 2014 (3 p.m. ET)
Deadline for receipt of brief proposals.

May 15, 2014
Applicants notified if they have been invited to submit a full proposal.

Full proposal applicant webinars:
May 21, 2014 (11 a.m.−12 p.m. ET) 

May 23, 2014 (10−11a.m. ET) 

June 12, 2014 (3 p.m. ET)
Deadline for receipt of full proposals.

August 4−August 8, 2014
Virtual visits with select applicants.

August 26, 2014
Notification of awards.

October 15, 2014
Grants begin.

Eligibility and Selection Criteria

Preference will be given to applicants that are either public entities or nonprofit organizations that are tax-exempt under Section 501(c)(3) of the Internal Revenue Code and are not private foundations or Type III supporting organizations. The Foundation may require additional documentation. Applicant organizations must be based in the United States or its territories.

Applicant organizations should have an active collaboration that includes at least one payer (e.g., health plan, insurance company, employer, government payer) and one or more provider / health care organizations (e.g. health centers/clinics, provider organizations, hospitals, network of physician offices, regional coalition of providers and health care organizations). Applicants may also be a single integrated delivery system and health plan. Multi-payer partnerships are encouraged. Any partner can be the lead applicant. The remaining partner(s) must play active roles throughout the project.

Complete eligibility criteria can be found in the Call for Proposals document.

April 18, 2014, 3:00 p.m. ET


Scott Cook

Phone: (866) 344-9800