Health equity is the attainment of the highest level of health for all people. Studies in Pennsylvania have shown that there is an almost ten percent difference in access to prenatal and postpartum care between black mothers and white mothers. Furthermore, the life expectancy of a baby born in Pennsylvania is strongly tied to zip code. A newborn in North Philadelphia has a life expectancy of 68 years, when just five miles to the south newborns are expected to live to 88. In the U.S., it has been estimated that the combined cost of health disparities and subsequent deaths due to inequitable care is $1.24 trillion dollars. Health shouldn't be predetermined by the color of your skin, the language that you speak, the country that you were born in, the zip code that you live in, the religion that you practice, or your sexual orientation, gender, or gender identity. As such, we will seek to more accurately measure health inequities within the commonwealth encourage MCOs to promote health equity by considering VBP models that reward improvement in health equity, and promote MCO adoption of the NCQA multicultural distinction.