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The Diabetes Educator

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Medical Care Research and Review
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Engagement of Health Plans and Employers in Addressing Racial and Ethnic Disparities in Health Care

Meredith B. Rosenthal

Harvard School of Public Health, Boston, MA

Bruce E. Landon

Harvard Medical School, Boston, MA

Sharon-Lise T. Normand

Harvard School of Public Health, Boston MA

Thaniyyah S. Ahmad

Harvard School of Public Health, Boston MA

Arnold M. Epstein

Harvard School of Public Health, Boston MA

Disparities in access to and quality of health care along racial and ethnic lines are an important national problem. Health care purchasers and payers have a potentially important role to play in alleviating this problem. Using national surveys of 609 employers and 252 health plans with HMO products in 41 U.S. markets, we examined awareness of racial and ethnic disparities in health care access and quality, perceptions of employer and health plan role in addressing disparities, and reported efforts to measure and reduce disparities. Our findings suggest that most health plans and many employers are aware of the existence of substantial disparities and that health plans, but not employers, have taken steps to examine and influence patterns of care by race and ethnicity among their members.

Key Words: disparities • value-based purchasing • survey

This version was published on April 1, 2009

Medical Care Research and Review, Vol. 66, No. 2, 219-231 (2009)
DOI: 10.1177/1077558708328816
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