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. 
























































































































































Governing Accountable Health Entities: Examples from 12 States
/in Policy California, Colorado, Connecticut, Delaware, Massachusetts, Michigan, Minnesota, New York, Oregon, Rhode Island, Vermont, Washington Charts Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Housing and Health, Population Health, Social Determinants of Health /by NASHP StaffMore than a dozen states are developing accountable health models to improve population health and control costs by addressing community needs, such as transportation, recreation, and housing. These entities’ mission — to build healthy communities through cross-sector partnerships — is supported by innovative and evolving governance structures. This NASHP chart and a companion blog highlight […]
New Report Highlights Successful, Cross-Agency Strategies to Address Substance Use Disorder
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health /by NASHP WritersStates are realigning policies, funding, staffing, and data across agencies to better meet the needs of people living with or at risk of developing substance use disorder (SUD). In 2018, NASHP and the Association of State and Territorial Health Officials (ASTHO) convened a group of Medicaid and public health leaders to discuss state strategies for […]
How States Promote Lead Screening and Treatment
/in Policy Maps CHIP, Chronic Disease Prevention and Management, Health Equity, Healthy Child Development, Housing and Health, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Population Health /by NASHP StaffOregon’s Accountable Health Model Addresses Health Equity and Health-Related Needs: Four Lessons from CCO 2.0
/in Policy Oregon Blogs Accountable Health, Chronic and Complex Populations, Community Benefit, Cost, Payment, and Delivery Reform, 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, Primary Care/Patient-Centered/Health Home, Social Determinants of Health /by Amy ClaryStates developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers — including physical, behavioral, and oral health providers — that the state pays a global capitated […]
The State of States: How Governors Plan to Address Health-Related Social and Economic Factors in 2019
/in Policy Blogs Chronic Disease Prevention and Management, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by NASHP StaffGovernors’ state of the state and inaugural addresses provide critical insights into their 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 2019 addresses. This week, NASHP examines the social and economic issues raised – such […]
How Governors Addressed Social and Economic Issues Affecting Health in their 2019 State of the State Addresses
/in Policy Charts Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Housing and Health, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by NASHP StaffNASHP’s Health and Housing Institute Celebrates First Anniversary
/in Policy Blogs Community Benefit, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Population Health, Social Determinants of Health, Value-Based Purchasing /by Malka BerroThis month, the five member states of the National Academy for State Health Policy’s (NASHP) Health and Housing Institute are marking their first anniversary of breaking down agency silos and advancing reforms to improve health and housing for vulnerable populations, including those experiencing homelessness, struggling with behavioral health or substance use disorders, or transitioning out […]
The State of States’ Health Policies: What Governors Highlighted in their 2019 Addresses
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by Anita CardwellState of the state and inaugural speeches give governors the opportunity to highlight their recent policy successes and outline key plans and priorities for the coming year. These speeches are strong indicators of governors’ policy goals and often include proposals and funding recommendations for their legislatures. As a result of 2018 gubernatorial races in 36 […]
How Governors Addressed Health Care in their 2019 State of the State Addresses
/in Policy Charts Accountable Health, 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, Housing and Health, Infant Mortality, Integrated for Pregnant/Parenting Women, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by Anita Cardwell and Sarah LanfordQ&A: How Connecticut Matched Its Medicaid and Homelessness Data to Improve Health through Housing
/in Policy Connecticut Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Health IT/Data, Housing and Health, Population Health, Social Determinants of Health /by Malka BerroStates working to improve the health of people experiencing homelessness can match their Medicaid data with Homeless Management Information Systems (HMIS) data to track which populations are using housing services and which have the greatest unmet need. HMIS are databases that housing service providers and Continua of Care (CoCs) community and state agencies use to […]