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 Take Action to Improve Health through Housing
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health /by Amy ClaryOn a single January night in 2018, approximately 553,000 people in the United States experienced homelessness, either sleeping on the street or in a variety of shelters, and those numbers have been gradually increasing since 2016. The risk of homeless also looms large for many who are housing insecure, including 25 percent of renters nationwide […]
Medicaid and CHIP Levers to Promote Lead Screening and Treatment: Indiana’s Experience
/in Policy Indiana, Maryland Reports Care Coordination, Chronic and Complex Populations, Health Coverage and Access, Health Equity, Housing and Health, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by NASHP StaffAddressing lead hazards today generates future economic benefits and improved health outcomes for children. In partnership with the Health Resources and Services Administration, NASHP is publishing a series of case studies highlighting state initiatives to promote lead screening and treatment. This study explores Indiana’s efforts to address this issue within its Medicaid and Children’s Health […]
States Take Action to Improve and Expand Early Childhood Education
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Care Coordination, CHIP, CHIP, Chronic and Complex Populations, Eligibility and Enrollment, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Health Equity, Healthy Child Development, Infant Mortality, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Megan LentParticipation in early childhood education programs has been linked to better health, higher educational achievement, and higher socioeconomic status in adulthood. Given that programs have been shown to yield a $2 to $4 return for every $1 invested, many states are looking upstream and investing in the education of their youngest residents. What governors are […]
Changes to Poverty Measure Could Disqualify Thousands from State and Federal Programs
/in Policy Blogs, Featured News Home CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health /by Anita Cardwell and Christina CousartThe Office of Management and Budget (OMB) is seeking public comment on possible changes to how the federal poverty measure is annually adjusted for inflation. The changes would impact individuals’ eligibility for multiple programs because the US Department of Health and Human Services uses the poverty measure to establish poverty level guidelines. A wide range […]
Across the Nation, State Leaders Are Tackling the Global Issue of Environmental Protection
/in Policy Blogs Chronic Disease Prevention and Management, Health Equity, Population Health, Social Determinants of Health /by Amy ClaryThe profound connection between the environment and human health makes headlines primarily when things go wrong: when air pollution triggers asthma attacks, water is tainted by toxins, and tick- and mosquito-borne diseases spread, propelled by a changing climate. But some state leaders see the health of the environment as a critical and continuous state policy […]
Vermont Uses an Accountable Care Organization Model to Promote Developmental Screenings during Well-Child Visits
/in Policy Vermont Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Safety Net Providers and Rural Health, State Insurance Marketplaces, Value-Based Purchasing /by Megan Lent and Carrie HanlonWithout early identification and treatment of development delays, children may face long-lasting and costly consequences. With more states reporting their developmental screening Child Core Set measures and new federal initiatives promoting value-based payment for children’s health, Vermont’s innovative affordable care organization’s approach can provide valuable insights. This fact sheet describes Vermont’s strategy to prioritize developmental […]
How 10 States Keep the ‘Community’ in Hospitals’ Community Health Needs Assessments
/in Policy Charts Blending and Braiding Funding, Community Benefit, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health /by Elinor Higgins and Amy ClaryNon-profit hospitals are federally required to conduct community health needs assessments (CHNAs) every three years and develop a plan to meet those needs in exchange for their tax exempt status. Many states have laws or guidelines that are more detailed than the federal requirements. Scroll down to see 10 states’ guidelines for involving community members […]
How States Keep Community at the Center of Hospitals’ Community Health Needs Assessments
/in Policy Blogs Blending and Braiding Funding, Community Benefit, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health /by Amy ClaryTax-exempt hospitals receive billions of dollars in tax exemptions each year. In exchange, they are required to invest in the health of their communities. But to do that, hospitals must first identify the health needs of the communities they serve. States can work to make sure hospitals truly seek out and act on meaningful input […]
New Governors Take the Long View in Addressing Early Childhood Development
/in Policy California, Ohio Blogs Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Elinor HigginsState policymakers have historically promoted early childhood development improvements, but this year a growing number are acknowledging children’s early years as critical in determining their future health and success during adulthood. As a result, governors are promoting investments in the future health of their states by focusing resources on their youngest citizens. This investment can […]
States Guide the Governance of Accountable Health Entities to Promote Community Health and Engagement
/in Policy Blogs Accountable Health, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by Amy ClaryAt least 12 states are developing accountable health models to improve health and control costs by addressing health-related community needs, such as transportation, recreation, and housing. Their goals include building healthy communities and improving health equity through cross-sector partnerships, and their organizational and governance structures are evolving to reach these goals. In these accountable health […]