Community Diversity Shouldn’t
Cause Healthcare Adversity

Who you are and where you live shouldn’t be barriers to good health. That’s why Equality Health is creating a revolutionary health care delivery system for populations that have long struggled with integrating int the one-size-fits-all U.S. health care model. Our Cultural Care Model is designed to reduce health disparities by improving access, cultural assistance, trust, and quality of care.

Sometimes it’s hard to see what’s behind the disparities. Often, underserved populations have to make hard choices between taking care of their health or their families. Questions like “Do I fill my prescription or my kid’s stomach? Do I pay my medical bills or pay of missing work? Do I deal with my problems or deny my depression?” are the reality.


The Challenge: Address Diversities

Working closely with key stakeholders in the community, we’ve pioneered an innovative, replicable and sustainable Cultural Care Model that establishes a trusted resource among patients and providers alike.

Through an integrated technology and services platform, culturally competent provider network and community partnerships, we help managed care plans and health systems improve care for medically underserved and diverse populations, while simultaneously making the transition to risk-based accountability.

At our core, we exist to end health disparities and improve the health of individuals, families and communities.


The Need: Data hot-spotting helps us spot those who need help the most.

Equality Health’s data analysis determines who is best served by our tailored care delivery and social support system. In Phoenix, for example, six care delivery districts have been identified based on demographics, access, quality of care, and social/cultural barriers.

Within these districts, we layered managed-care plan member data and mapped the population against cohorts to determine the network and cultural configuration that would achieve the greatest outcomes.

With a multi-discipline population health approach that encompasses our Cultural Care Model, we created a network design that integrates primary care, behavioral and community providers to serve the whole-person needs of the patient. Proactive practice transformation and workflows support value-based contracting and cultural care model implementation.


The Solution: Health insights that incite radical change.

A division of Equality Health, HealthBI offers a comprehensive, multi-payer care coordination software solution called CareEmpower®. This intelligent workflow engine proactively manages, coordinates, and transitions patient care for large, complex patient populations.

CareEmpower’s shared technology platform takes data and turns it into useful, up-to-date information to close gaps in care, complete value-based care activities and get care teams the right clinical information—faster and cleaner than imagined. Providers now have a real-time picture of whole-patient health to help them easily coordinate care.

Making a Point to Manage Population Health

Q Point Health is a management services organization (MSO) that creates a collaborative bridge between payers and providers by offering value-based solutions to rapidly increase health plan performance. Software and services encompass practice transformation, revenue cycle management, chronic care management, collaborative workflows, credentialing and care management.

Population Health

Collaborating with Providers
Coordinating Patient Care

Equality Health Network (EHN) partners with primary care and behavioral health providers and community-based organizations to deliver wholistic, culturally sensitive care. Providers are given tools, technology, and training to help them identify and optimally care for their most vulnerable patients and run their practices more efficiently and cost-effectively while preparing them for the changing reimbursement environment. Providers are trained and equipped to administer our proprietary Social Cultural Risk Assessment (SCRATM) with their patients to identify sociocultural determinants that impact their overall health. This practice allows us to connect the patient with community resources and support to address these factors.

Our Care Goes Everywhere

Equality Health’s Care Coordination team offers personalized care for hospital-to-home transition and ambulatory services. Compassionate care coordinators, bilingual nurses, pharmacists, social workers, and chaplains, work with doctors and members to create a customized plan to help members recover, stay healthy, and remain independent. Assistance, support and resources are provided right at the member’s personal residence.

Person-centered Care in One Comprehensive Care Center

Chronically ill patients with multiple treatment needs get help at Equality Health’s Complex Care Centers. Here, primary care, behavioral health, pain management and substance abuse disorder services by a multidisciplinary team within a comprehensive, integrated health home that makes it easy for people to access timely quality healthcare. This holistic approach increases health literacy and creates an alignment with community resources to close gaps in care and equalize social determinants of health.

The Support:

Turning Neighborhoods into Collaborative Care Teams

Meaningful reductions in health disparities can’t occur without associated improvements in access to stable housing, nutritious food, safe neighborhoods, environmental quality, good schools, and gainful employment. Communities must be at the center of interventions or activities that address health disparities.

Partnerships formed with trusted community-based organizations that facilitate seamless, two-way collaboration and support the social determinants of health are a critical aspect of Equality Health’s holistic approach to care.