Cleveland, OH

Aligning Forces for Quality (AF4Q) is the visionary effort of the Robert Wood Johnson Foundation to pilot real change in today's complicated health care system. For the past six years, AF4Q has brought together 16 geographically, demographically, and economically diverse communities across the United States behind a common purpose—to create sustainable models for health care transformation. Our ideas and initiatives have led to improvements in how health care is delivered, reductions in racial and ethnic disparities, and increased...

The Situation: In February 2013, CMS granted a waiver enabling the state of Ohio to move up to 30,000 uninsured adults in Cuyahoga County to a new health care coverage program called CarePlus by the end of 2013. Several AF4Q partners in the Better Health Greater Cleveland Alliance enrolled 28,294 uninsured patients in CarePlus, with a goal of providing better access, better care, and better outcomes, but with costs lower than those CMS estimated as “budget neutral.”


Quality Field Notes features key lessons learned by regional Alliances of clinicians, patients, and payers in Aligning Forces for Quality communities as they work to transform local health care and provide models for national reform. The latest topic in this series focuses on improving equity in health care. In 2009, the excess health care costs associated with disparities were estimated at $60 billion. A review of health quality...

Cleveland Aligning Forces for Quality (Cleveland AF4Q) is led by Better Health Greater Cleveland, an alliance of  providers, patients, purchasers, and health plans.   Established in 2007, the mission of the nonprofit collaborative is to improve the health and value of health care provided to people with chronic medical conditions in Northeast Ohio. Through its growing number of clinical partners, Better Health reaches more than 70% of the chronically ill in Cuyahoga County.

Visit the Alliance Website Here.

Visit the Public Reporting Website Here.

Contact Us

Cleveland, OH
Better Health Greater Cleveland
2500 MetroHealth Drive
Cleveland, OH 44109
Dr. Randall Cebul MD
Better Health Greater Cleveland