Why equitable health outcomes?

Inequities in health outcomes—by race, class and geography—must be eliminated.

Providing access to medical care by itself will not change these historic health inequities. That’s why we support meaningful progress to change the social determinants of health—the conditions outside the medical office, such as housing, transportation, and the built environment that impact health outcomes.

Our Goals

Utilize a value-based care environment to facilitate health improvement for financially disadvantaged North Carolinians.

What we know: Because the health care system is undergoing a sweeping shift driven by rising costs, poor outcomes, and federal reform, it is moving away from traditional reimbursement methods built on individual payments for each medical service to a concept called value-based care. Value-based care transitions from a model that incentivizes tests and procedures to one that encourages health care providers to treat the whole person, to keep them healthy so they can live life to the fullest.

What we do: We support system change efforts to better understand how value-based care is impacting health outcomes, as well as to engage low-income consumers in improving value-based systems of care. We promote innovative approaches to leveraging and improving these systems. We also increase the capacity of the health care safety net that treats North Carolina’s most vulnerable residents, and help safety net providers adjust to new payment models.

Work with health systems to improve health outcomes for Medicaid and uninsured populations by addressing social drivers of health and well-being.

What we know: Research increasingly shows us that social, economic and environmental factors are much greater drivers of health than what happens in the clinic and hospital. To improve the quality of health for all North Carolinians, we must address these social determinants of health.

What we do: We support efforts to better understand the social determinants of health, as well as innovative approaches to helping health systems address these underlying drivers. We also support community-based efforts to collaborate between clinical providers and organizations that address social drivers of health and well-being. Finally, we build the capacity of community-based organizations that help financially disadvantaged residents to understand and engage with the health care delivery system.

Funding Opportunities

Building Partnerships and Organizational Capacity to Address Social Drivers of Poor Health

Achieving greater equity in health outcomes will require genuine partnership between hospitals and health systems and the community organizations that are embedded in underserved areas or led by residents with low incomes. The Trust is interested in hearing from organizations and collaboratives working to build these partnerships to address a specific social driver of poor health.

Past Funding Opportunities

The following funding opportunities are no longer accepting applications.

Decreasing Health Disparities: Consumer Education and Feedback

The shift to Medicaid managed care and new value-based care arrangements in the state could improve health outcomes for financially vulnerable residents or widen already steep racial and geographic disparities. To ensure that low-income families are not harmed as payment models change, the Trust will support efforts to educate and protect consumers and promote patient feedback and information sharing among stakeholders.

Public Education on Value-Based Care

This funding opportunity is for organizations that can help educate and inform concerned residents, community-based organizations, safety net providers, and other key stakeholders about Medicaid reform and the health system’s transition to value-based care.

Value-Based Care Pilot Planning

This funding opportunity supports innovative approaches for leveraging value-based care to improve the health of low-income patients in North Carolina.

Decreasing Health Disparities: Data Collection and Analysis

The shift to Medicaid managed care and new value-based care arrangements in the state could improve health outcomes for financially vulnerable residents or widen already steep racial and geographic disparities. To better understand the impact of these initiatives, the Trust will support data collection and analysis efforts that shed light on how low-income patients, especially racial and ethnic minorities, are faring as health care payment models change.

Our Team

Program Officer

Program Officer

Program Coordinator