Racial and ethnic disparities in health care are an important problem, for affected individuals, caregivers, and society at large. Numerous remedial efforts have been launched, including the Finding Answers program of the Robert Wood Johnson Foundation (RWJF). Reform calls for documenting disparities, developing and disseminating information about effective remedies, and generating supportive business cases for improvement. This brief report focuses the need for business cases, which are harder to build than might at first appear, as shown by a literature scan and interviews with entities working to reduce disparities under RWJF grants.