In this commentary, we consider the need for measurement approaches that support efforts to advance health care equity nationwide in a meaningful and sustained way. The authors of this piece are co-chairs of the Measurement Steering Committee of Rise to Health: A National Coalition for Equity in Health Care (www.risetohealthequity.org), and our writing is directly informed by our work in the Coalition. We present three foundational questions and our recommendations for addressing them: 1.) Tracking progress: Will we be able to see if change occurs? 2.) Ensuring accountability: Are we measuring only what is easy to measure or what is meaningful? 3.) Inspiring and sustaining collective action: What will hold a diverse set of institutions together?