Health Equity
Many states are transforming their health care delivery systems to improve health and control costs. Reducing health disparities — and addressing their social and economic causes — is at the heart of many of these efforts.
Health equity means everyone has an equal opportunity to live a long and healthy life regardless of race, ethnicity, gender, income, neighborhood, education, or any other social condition.
Despite its high price tag, the majority of health care spending ignores critical determinants of health, including social and economic factors, the environment, and health behaviors. By increasing health equity, states can achieve improved, long-term health outcomes.
The following resources showcase effective state efforts to achieve health equity, improve care, and prioritize the social determinants of health. To suggest a resource or share your state’s efforts, contact Elinor Higgins.
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
























































































































































States Explore Pivoting Hospital Community Benefit Requirements to Address Disparities Exposed by COVID-19
/in Health System Costs Blogs, Featured News Home Community Benefit, Consumer Affordability, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health /by Anne DeBiasi, Jill Rosenthal and Allie AtkesonWith a Federal Eviction Moratorium in Place, States Develop Additional Protections for Low-Income Renters
/in Policy Blogs, Featured News Home COVID-19, Health Equity, Housing and Health, Population Health, Relief and Recovery, Social Determinants of Health /by Allie AtkesonLast week, the Centers for Disease Control and Prevention (CDC) issued an agency order temporarily halting residential evictions for nonpayment of rent due to COVID-19 through the end of 2020. This unprecedented action, which includes no provisions address landlords’ lost income, identifies housing as a key tool to prevent the spread of COVID-19. Alongside this […]
Case Studies: How Tennessee and California Medicaid Programs Promote Access to Postpartum Long-Acting Reversible Contraception
/in Policy California, Tennessee Blogs, Featured News Home Health Equity, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Taylor PlattIncreasing women’s access to postpartum birth control has the potential to increase the health and well-being of women and their families, and immediate postpartum birth control can lead to a decrease in unplanned pregnancies, increased intervals between pregnancies, and a reduction in neonatal abstinence syndrome births (from drug exposure in the womb). Tennessee and California […]
States’ Efforts to Address Adverse Childhood Experiences Are Critical during COVID-19
/in Policy Blogs, Featured News Home Chronic and Complex Populations, COVID-19, Health Equity, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Rebecca Cooper and Carrie HanlonAdverse childhood experiences (ACEs), such as poverty, food and/or housing insecurity, child abuse, neglect, and mental illness, contribute to poor health outcomes, and the pandemic’s health and economic impacts exacerbate the risk of ACEs. States are continuing to implement strategies to identify and measure ACEs and connect children to appropriate services that can mitigate potential […]
State Levers to Support Dental Care in COVID-19’s Public Health and Economic Emergency
/in Policy Blogs, Featured News Home Child Oral Health, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Social Determinants of Health /by Allie AtkesonCOVID-19 has greatly impacted dental care and oral health access in the United States. From closed offices to an increased need for personal protective equipment (PPE), states and providers are both facing challenges to connect patients to dental care. With reduced tax revenue and looming budget crises, states are also facing difficult budget decisions – […]
State Strategies to Safely Transition Children with Special Health Care Needs Back to School
/in Policy Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Equity, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Eskedar GirmashAs states explore back-to-school remote or in-person learning options, they are developing strategies to meet the needs of children and youth with special health care needs (CYSHCN) in their education and public health systems. These approaches include: Developing risk assessment tools for children and families; Increasing staffing to ensure physical distancing; Enhancing collaboration between education […]
#NASHPCONF20 Highlighted States’ Creativity in Addressing Equity, Bolstering Health Care, and Preserving Safety Nets during COVID-19
/in #NASHPCONF20 Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Consumer Affordability, Cost, Payment, and Delivery Reform, COVID-19, Health Coverage and Access, Health Equity, Health System Costs, Long-Term Care, Making the Case for Action, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by Trish RileyLast week, over 1,000 state health policy leaders and others from every state joined the National Academy for State Health Policy’s (NASHP) first-ever virtual state health policy conference to discuss a path forward during an unrelenting pandemic and profound budget challenges. As one state official noted, “This was a chance to lift my eyes from […]
States Launch Initiatives to Address Racial Inequities Highlighted by COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home Chronic Disease Prevention and Management, COVID-19, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by Elinor HigginsCOVID-19 has illuminated racial and ethnic disparities across the country and simultaneously created new momentum for state leaders to address the root causes of racial inequity. COVID-19 case data has made the disparities — driven by systemic racism and inequitable economic and social conditions — increasingly blatant. In response to the dual crises of racism […]
Iowa’s I-Smile Program Promotes Dental Care for Children, Pregnant Women, and Adults
/in Policy Iowa Featured News Home, Reports Child Oral Health, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Oral Health, Population Health /by Ariella LevisohnThrough a unique partnership between the Iowa Medicaid and public health agencies, Iowa’s I-Smile program addresses the disproportionate impact of dental disease on low-income individuals. I-Smile and its related I-Smile @ School for children and I-Smile Silver for adults help promote preventive oral health services and reduce barriers to dental care across the state.
States Raise Concerns about Moving Critical COVID-19 Reporting Data from CDC to HHS
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Coverage and Access, Health Equity, Health IT/Data, Population Health, Quality and Measurement, Social Determinants of Health /by Trish Riley and Jill RosenthalThe recent decision to shift daily data reported by hospital administrators about their capacity and hospital beds occupied by COVID-19 patients from the Centers for Disease Control and Prevention (CDC) to the Department of Health and Human Services’ (HHS) TeleTracking system has sparked concerns among state officials who are on the pandemic’s frontline, and infectious […]