BCBS MN hoped to reduce inequities affecting diverse and underserved communities through an organizational and systemic approach to racial and health equity. BCBS MN adapted broad, planned structural solutions for internal equity policies and created steering committees to embed equity in health systems.

APPEAL adapted the transtheoretical model into a framework for analyzing community readiness for policy change. APPEAL employs the community readiness model to help communities identify and evaluate priority areas of focus to develop policy strategies to change social norms.