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. 
























































































































































CMS Requests Input to Better Coordinate Care for Children with Complex Conditions from Out-of-State Providers
/in Policy Blogs, Featured News Home 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, EPSDT, 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, Population Health, Social Determinants of Health /by Kate HonsbergerThe Centers for Medicare & Medicaid Services (CMS) recently released a request for information (RFI) for input from states, providers, health systems, and families to better coordinate care from out-of-state providers for children with complex health conditions enrolled in Medicaid. The deadline to submit comments is March 23, 2020. States have long addressed issues of […]
How States Are Improving School Safety – a Critical Social Determinant of Health
/in Policy Blogs, Featured News Home Health Equity, Healthy Child Development, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Rebecca Cooper and Elinor HigginsFederal Funding Change that Includes Stimulants Allows States to Expand their Substance Use Disorder Initiatives
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Equity, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Jodi ManzSince 2017, the federal government has awarded $2 billion to states specifically for opioid prevention, treatment, and recovery. But a new spending package passed last month allows states to use federal funds to address the growing use of stimulants, including cocaine and methamphetamine, that are emerging as the newest wave of drugs fueling the overdose […]
Transforming Systems to Improve Health Upstream: Lessons from Washington’s Accountable Communities of Health
/in Policy Washington Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Oral Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health, Social Determinants of Health /by Amy ClaryFive years ago, Washington State launched a collaborative regional Accountable Communities of Health (ACH) model to improve the health of communities across the state. These ACHs have evolved into independent organizations that are integral to the state’s health system transformation efforts. A 2019 evaluation by the Center for Community Health and Evaluation found this ACH […]
How States Addressed Health-Related Social and Economic Factors in 2019
/in Policy Blogs, Featured News Home Blending and Braiding Funding, Chronic Disease Prevention and Management, Health Equity, Healthy Child Development, Housing and Health, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Jill RosenthalDuring 2019, the National Academy for State Health Policy (NASHP) has tracked the progress of many of the plans governors outlined in their 2019 state of the state and inaugural addresses that focused on the social and economic factors that influence health. The governors’ initiatives included social inequity, housing, education, the environment, jobs, and other […]
Identifying Gaps in Federal Oversight of Hospitals’ Community Benefit Investments – Opportunities for State Policy
/in Policy Featured News Home Community Benefit, Health Equity, Hospital/Health System Oversight, Population Health, Social Determinants of Health /by Trish Riley, Amy Clary and Elinor HigginsStates Take the Lead to Address Climate Change
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, Community Benefit, Health Equity, Population Health, Social Determinants of Health /by Rebecca CooperScientists agree that climate change poses a great threat to the environment, impacting people’s health directly and indirectly, and many states are rapidly taking steps to reduce carbon emissions. From seasonal allergies to heart and lung disease, the changing climate poses serious consequences for vulnerable populations, specifically children, pregnant women, and the elderly. At the […]
States Increase Access to Oral Health Services and Support Overall Health
/in Policy Child Oral Health, Community Health Workers, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Oral Health, Population Health, Workforce Capacity /by NASHP StaffAcross the nation, states are developing innovative approaches to increase access to oral health services. These policies underscore the critical relationship between overall health and oral health. This blog and two new National Academy for State Health Policy fact sheets explore how several states, including Minnesota and Arizona, are expanding their oral health workforce to […]
States Increase Access to Oral Health Services and Support Overall Health
/in Policy Arizona, Minnesota Blogs, Featured News Home Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Health Equity, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Workforce Capacity /by Carrie Hanlon and Neva KayeState officials continue to develop new approaches to increase access to oral health services, and many of their innovations were highlighted at National Academy for State Health Policy’s 2019 conference. There are ongoing initiatives, such as deploying community health workers in Minnesota, a New Hampshire Medicaid and Women, Infants, and Children Nutrition Program pay-for-prevention, bundled […]
Expanding the Oral Health Workforce to Promote Overall Health: Minnesota Deploys Community Health Workers and Dental Therapists to Advance Equity
/in Policy Minnesota Reports Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Workforce Capacity /by Carrie Hanlon and Rebecca Cooper