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. 
























































































































































Q&A: A Deep Dive into New York’s Drug User Health Hubs with New York’s Allan Clear
/in COVID-19 State Action Center New York Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, HIV/AIDS, Population Health, Social Determinants of Health /by Eliza MetteThe COVID-19 pandemic poses unique risks to people with opioid use disorder (OUD). Overdose risk increases when using individuals are in isolation and injection drug users are at higher risk of COVID-19 mortality due to increased rates of other infectious diseases and negative health effects from substance use.
Strengthening Workforce Capacity: State Actions to Address Opioid Use Disorder during COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Health Equity, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, Workforce Capacity /by Kristina Long and Jodi ManzDuring the COVID-19 pandemic, the opioid epidemic has quietly raged on, requiring states to fight a costly, two-front war. While states have rallied to ensure that opioid use disorder (OUD) treatment remains accessible, organizational and workforce challenges persist and the resources and revenue needed to address them are rapidly changing. Gaps in treatment infrastructure and […]
Massachusetts Enlists Volunteers for its Contact Tracing Initiative to Curb COVID-19
/in COVID-19 State Action Center Massachusetts Blogs, Featured News Home Community Health Workers, Contact Tracing, COVID-19, Health Coverage and Access, Health Equity, Population Health, Workforce Capacity /by Chris KukkaConfronted with a shortage of test kits, rising COVID-19 cases, and pressure to reopen, many states are designing innovative contact tracing initiatives that use private and public health expertise, volunteers, and traditional phone calls to reach individuals who have been exposed to the coronavirus so they can self-isolate to stop the spread of infection.
State-Based Marketplaces Lead in Increasing Access to Coverage during COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home Consumer Affordability, COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Population Health, State Insurance Marketplaces /by Christina CousartStates’ Recent 1115 Waiver Applications Include Provisions to Support Children during the Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Workforce Capacity /by Kate HonsbergerMore than a dozen states have recently submitted 1115 waiver applications that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic. If approved, these 1115 waivers would be retroactively to March 1, 2020, and expire “no later than 60 days after the end of the public health […]
Toolkit: Upstream Health Priorities for Governors
/in Policy Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Palliative Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP WritersGovernors can control costs, advance their priorities, and enhance lives by improving the social and economic conditions that make up 80 percent of the factors affecting their residents’ health. Governors are uniquely positioned to maximize state resources to address the conditions affecting health by leading cross-agency and public-private collaborations, leveraging siloed state resources, and advancing evidence-based health policy approaches.
Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
/in Policy Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Health Equity, Health IT/Data, HIV/AIDS, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Safety Net Providers and Rural Health /by Eliza Mette, Jodi Manz and Kristina LongIn response to an increase in HIV and hepatitis C virus (HCV) infections in individuals with substance use disorders (SUD), including opioid use disorders (OUD), state policymakers are employing multifaceted strategies to address this syndemic, collaborating with public and private partners to prevent the spread of infectious disease and provide access to evidence-based treatment. This report […]
States Use Race and Ethnicity Data to Identify Disparities and Inform their COVID-19 Responses
/in COVID-19 State Action Center Blogs, Featured News Home Accountable Health, COVID-19, Health Equity, Population Health, Social Determinants of Health /by Carrie Hanlon and Elinor HigginsThe COVID-19 pandemic is shining a light on well-established racial disparities in health care access and quality, and in social and economic factors affecting health status and outcomes. The racial inequities exposed by case identification and death rates data give states opportunities to improve their responses and interventions. As state and local data becomes available, […]
It’s National Public Health Week and States Are Making Extraordinary Efforts to Safeguard our Health
/in COVID-19 State Action Center COVID-19, Health Equity, Population Health /by Trish RileyIt’s National Public Health Week, a week that often passes without notice. The COVID-19 pandemic has brought a profound awareness of the extraordinary commitment and bravery of frontline health care workers and all those who keep society functioning. To give thanks seems too little. To fight so they have the tools they need to work […]
CARES Act in the States: Targeting New Health Funding in a Time of Crisis
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Relief and Recovery, Social Determinants of Health, Workforce Capacity /by Trish Riley and Ellen SchneiterThe landmark $2 trillion Coronavirus Aid, Relief and Economic Security Act (CARES), enacted last week, includes critically important new funding to help states in their fight to combat COVID-19. Governors and legislatures, most adjourned to comply with social distancing bans on public gatherings, will need to make quick but informed decisions about how best to […]