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. 
























































































































































Massachusetts Gov. Charlie Baker Is NASHP’s 2020 Annual Conference Keynote Speaker
/in #NASHPCONF20 Blogs, Featured News Home Consumer Affordability, COVID-19, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Total Cost of Care Benchmark /by NASHP StaffMassachusetts Gov. Charlie Baker will kick off the National Academy for State Health Policy’s 33rd annual conference with a keynote address at 4:30 p.m. (ET) Monday, Aug. 14, 2020. The conference, originally scheduled for Boston, will be delivered on-line. Massachusetts has long been a national health reform leader and Gov. Baker has played a key […]
Four State Strategies to Employ Doulas to Improve Maternal Health and Birth Outcomes in Medicaid
/in Policy Indiana, Minnesota, Nebraska, Oregon Featured News Home, Reports Health Equity, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Taylor Platt and Neva KayeStates Craft Collaborative Approaches to House the Homeless and Curb COVID-19
/in COVID-19 State Action Center Ohio Blogs, Featured News Home Behavioral/Mental Health and SUD, Blending and Braiding Funding, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Equity, Housing and Health, Physical and Behavioral Health Integration, Population Health /by Eliza Mette and Jodi ManzPeople with substance use disorders (SUD) who are experiencing housing instability or homelessness are particularly at risk during the COVID-19 pandemic, leaving states challenged more than ever to identify effective housing strategies that can simultaneously address the complex treatment needs of people with SUD while also curbing the spread of COVID-19 in congregate settings.
States Redesign Home Visiting Programs for a Telehealth World during COVID-19
/in COVID-19 State Action Center Michigan Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Community Health Workers, COVID-19, Health Equity, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Taylor PlattAs families face immense stress from the pandemic, states have rapidly reworked their home visiting programs to continue to support women and children. Because face-to-face services, including case management and family support and counseling, are no longer an option, health departments now deliver these vital services by telehealth. But with this new operating platform, states […]
Six States’ Strategies to Providing Home Health Services to Children Enrolled in Medicaid
/in Medicaid Managed Care Connecticut, Delaware, Iowa, Maryland, Ohio, Washington Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Community Health Workers, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Long-Term Care, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, Special Populations and Services, Workforce Capacity /by Olivia Randi and Kate HonsbergerTo improve the quality of services for children and youth with special health care needs (CYSHCN) and reduce health care costs, states are implementing strategies to improve access to home health services. Of particular importance as states confront COVID-19-related budget challenges, home health services can help to avoid costly emergency department use, hospitalizations, and institutional […]
State Approaches to Providing Home Health Services to Children with Medical Complexity Enrolled in Medicaid
/in Policy Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Community Health Workers, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, Workforce Capacity /by Kate Honsberger, Ellen Bayer, Anna Matilde “Tilly” Tanga and Karen VanLandeghemNew Jersey’s Project ECHO Builds Provider Capacity to Support Maternal and Child Health during COVID-19
/in Policy New Jersey Blogs, Featured News Home COVID-19, Health Coverage and Access, Health Equity, Health IT/Data, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, Workforce Capacity /by Eddy FernandezConfronted with a pandemic that impacts the health of women and children – ranging from pregnancy and delivery to access to substance abuse treatment – a consortium of New Jersey state and health care experts launched a Project ECHO (Extension for Community Healthcare Outcomes) initiative to share COVID-19 expertise between specialists and primary care to […]
States Engage Community Health Workers to Combat COVID-19 and Health Inequities
/in COVID-19 State Action Center Blogs, Featured News Home Community Health Workers, COVID-19, Health Equity, Population Health, Social Determinants of Health /by Elinor HigginsAs recent data shows, COVID-19’s infection and death rates illustrate the profound racial and ethnic disparities in the nation’s health care system and the social and economic inequalities that affect health outcomes. To curb COVID-19 and improve the quality of care delivered to communities that have faced decades of discrimination, a few states are bolstering […]
Toolkit: National Standards for Children and Youth with Special Health Care Needs
/in Policy Toolkits Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Featured Policy Home, Health Coverage and Access, Health Equity, Health IT/Data, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health /by NASHP StaffThe National Standards for Systems of Care for Children and Youth with Special Health Care Needs (CYSHCN) define the core components of a comprehensive, coordinated, and family-centered system of care for CYSHCN.
Statement from NASHP’s Executive Director Trish Riley
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Equity, Population Health, Social Determinants of Health /by Trish RileyThe brutal deaths of Breonna Taylor, Ahmaud Arbery, George Floyd, and countless people of color before them, and the shocking disparities in death rates from the coronavirus, are tragic examples of the still pervasive racism in America. For organizations like NASHP, it is not enough to speak out – we need to redouble our efforts, along […]