Reporting Template for Medicaid Managed Care Plans

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Health Disparity Identification for VBP - Medicaid Managed Care Plans

April 2026

Instructions for plan reporting on disparity-focused VBP arrangements (please include attachments as necessary with your response):

  1. Using regional data sources and claims data, identify 2 areas of demographic disparity in health outcomes for your membership.
  2. Provide detailed supporting analysis as to how you identified the disparities above. Please be sure not to include any protected information.
  3. Do you already have an arrangement that addresses these concerns? Y/N
  4. If Y, please include:
    1. Contract ID
    2. The timeline/start date of the arrangement
    3. Geographies included
    4. Member lives included
    5. Risk arrangement structure with contracted providers
    6. Which types of providers have entered this arrangement
    7. Summary of provider performance on quality improvement thus far
  5. If N, please provide plan of action to develop one targeted health equity-focused arrangement as described in the VBP roadmap to be offered by April 1, 2027.

Definition of health disparity: Health disparities are largely preventable health differences that adversely affect populations who experience greater challenges to optimal health and are closely linked with intergenerational social, economic, and/or environmental factors—primarily observed among racial and/or ethnic minority populations and/or low socioeconomic status (SES) groups. Source: NIH What are Health Disparities? | NIMHD