There exists a tension between one-size-fits-all standardization and tailored interventions. Some participants described negotiating with health care payers over whether they could utilize current payment models or whether it was necessary to create new ones to support a successful local health care disparities intervention. While payers are often motivated to standardize intervention models for application across a system that includes a wide variety of settings, the success of disparity-focused interventions is often based on being tailored to the needs of a specific patient population and the realities of the community.

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