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.
Sign Up for Our Weekly Newsletter
Sign Up for Our Weekly Newsletter
Washington, DC Office:
1233 20th St., N.W., Suite 303Washington, DC 20036
p: (202) 903-0101
f: (202) 903-2790
Contact Us
Phone: 202-903-0101


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 Modify Medicaid Home- and Community-Based Waivers to Respond to COVID-19
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Chronic and Complex Populations, Community Health Workers, COVID-19, Health Equity, Long-Term Care, Physical and Behavioral Health Integration, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Wendy Fox-GrageStates are working rapidly to ensure that individuals with complex medical conditions and their families have access to necessary home- and community-based services during the coronavirus (COVID-19) crisis. Under new federal rules, states can now temporarily amend programs serving Medicaid enrollees using long-term services and supports through waiver and state plan amendment applications. The US […]
States Can Use CARES Act Funding to Support Health-Related Social Needs Exacerbated by COVID-19 Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Equity, Housing and Health, Population Health, Relief and Recovery, Social Determinants of Health /by Rebecca Cooper and Jill RosenthalStates Act Quickly and Creatively to Curb COVID-19
/in Policy Blogs, Featured News Home CHIP, Health Coverage and Access, Health Equity, Population Health, Social Determinants of Health, State Insurance Marketplaces, Workforce Capacity /by NASHP StaffAcross the nation, states are taking steps to curb the spread of the coronavirus (COVID-19) and meet their residents’ unique needs by restricting social interaction based on the severity of their outbreaks, offering “grab and go” lunches for children whose schools have closed, loosening licensing standards to increase the provider workforce, and offering opioid use […]
States Use a Sharper Lens to Scrutinize Nonprofit Hospitals’ Community Benefit Spending
/in Policy Blogs, Featured News Home Community Benefit, Health Equity, Population Health, Social Determinants of Health /by Amy Clary and Elinor HigginsThe State of States: How Governors Plan to Address Health-Related Social and Economic Factors in 2020
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, Health Equity, Housing and Health, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Elinor Higgins and Amy ClaryState of the state speeches provide critical insights into governors’ policy proposals that impact the health of their residents. Last week, the National Academy for State Health Policy (NASHP) highlighted the health care issues governors raised in their 2020 addresses. This week, NASHP examines how governors addressed the social and economic issues that heavily impact […]
Governors’ 2020 State of the State Speeches Look Upstream to Address Health-Related Inequities
/in Policy Chronic Disease Prevention and Management, Health Equity, Housing and Health, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by NASHP StaffGovernors Tackle Health Care Costs, Coverage, and Quality in their State of the State Addresses
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Expansion, Population Health, Prescription Drug Pricing, Safety Net Providers and Rural Health, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellIn their 2020 state of the state speeches, governors identified new health policy initiatives on a wide range of issues. As of mid-February, 42 governors had delivered speeches or outlined key budget priorities, and all addressed health issues – most commonly strategies to tackle health care costs and behavioral health issues. Below are highlights of the key health themes […]
States Are Advancing Healthy Food Policies in 2020
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, Community Benefit, Health Equity, Population Health, Social Determinants of Health /by Amy ClaryHow Governors Addressed Health Care in their 2020 State of the State Addresses
/in Policy Charts Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellNASHP Joins Lewin Group to Provide Integrated Care for Kids Model Support
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Care Coordination, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Karen VanLandeghemThe Centers for Medicare & Medicaid Services (CMS) has awarded the Lewin Group and its partners, which includes the National Academy for State Health Policy (NASHP), a seven-year contract to support implementation and monitoring for CMS’ Integrated Care for Kids (InCK) Model. Launched in January 2020, this model is part of CMS’s strategy to fight the opioid […]