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. 
























































































































































Overview: How the President’s Proposed FFY 2019 Budget Impacts Critical State Health Programs
/in Policy Blogs Behavioral/Mental Health and SUD, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Infant Mortality, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP StaffOn Monday, the Office of Management and Budget released the president’s FFY 2019 budget request that proposes $68.4 billion for health programs administered by the U.S. Department of Health and Human Services (HHS) – which is $17.9 billion less than 2017 funding levels. The budget proposal included an addendum designed to align the proposed White […]
How the Bipartisan Budget Act Impacts Key State Health Care Programs
/in Policy Blogs Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by NASHP StaffThe Bipartisan Budget Act of 2018, which continues government funding through March 23, 2018, addressed funding for several health care programs that heavily impact states. The temporary federal budget includes bipartisan agreement on discretionary budget caps for two years, which should help Congress put together a larger omnibus spending bill in March. The following outlines […]
States Develop New Approaches to Improve Population Health Through Accountable Health Models
/in Policy California, Colorado, Connecticut, Delaware, Massachusetts, Michigan, Minnesota, New York, Oregon, Rhode Island, Vermont, Washington Blogs, Reports Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health IT/Data, Housing and Health, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing Accountable Health /by Amy Clary, Tina Kartika, Jill Rosenthal and Elinor HigginsState Health Watch – What’s Ahead in 2018?
/in Policy Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Healthy Child Development, Immunization, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement, Value-Based Purchasing /by Trish RileyState health policymakers enter 2018 buffeted by unsettled insurance markets, reductions in public health and prevention revenue, and uncertain funding for Medicaid and health care delivery reforms. Will state innovation and more flexibility to restructure insurance and payment and delivery systems be enough to reduce medical costs and safeguard access to health care? Will new […]
Toolkit: State Strategies to Develop Value-Based Alternative Payment Methodologies for FQHCs
/in Policy Colorado, Hawaii, Michigan, Minnesota, Nevada, Oklahoma, Oregon, Washington Toolkits Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by NASHP WritersLessons from Rhode Island: How to Effectively Blend, Braid, and Use Block Grant Funds to Improve Public Health
/in Policy Rhode Island Annual Conference, Blogs Accountable Health, Blending and Braiding Funding, Chronic Disease Prevention and Management, Health Equity, Population Health, Social Determinants of Health /by Chris KukkaWhen Rhode Island health policymakers read the U.S. Centers for Disease Control and Prevention’s Healthy People 2010 report, they realized their children’s generation could face a shorter life expectancy than their own unless they changed their approach to public health. In response, Department of Health officials doubled down on their commitment to address health disparities […]
Learn How States Can Blend, Braid, and Use Block Grant Funds to Promote Public Health
/in Policy Reports Accountable Health, Blending and Braiding Funding, Chronic Disease Prevention and Management, Health Equity, Population Health, Social Determinants of Health /by NASHP StaffAs federal officials hint at overwhelming changes in how state health programs will be funded in the future, policymakers are strategizing how to reconfigure their programs to take advantage of the promised brave new world of flexibility and realigned funding. The National Academy for State Health Policy (NASHP), the de Beaumont Foundation, and the Association […]
Lessons from Project LAUNCH: Promoting Healthy Child Development through Behavioral Health Integration and Mental Health Consultation Where Children Live, Learn, and Grow
/in Policy Blogs Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health /by Becky NormileThe first few years of life are critical to a child’s development, setting the foundation for success in school and overall health and well-being later in life. Recent research proves that providing early, skilled behavioral and mental health interventions in venues where young children and their families live and play is highly effective at improving […]
States Share Innovative Approaches to Improve Population Health through Accountable Health Models
/in Policy California, Michigan, Oregon, Washington Annual Conference, Blogs Accountable Health, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by Jill RosenthalMore than 200 state health officials crowded into a National Academy for State Health Policy’s (NASHP) annual conference session recently to learn about strategies to improve population health and reduce costs while simultaneously transforming their state’s health care finance and delivery models. An Accountable Community for Health (ACH) is: An alliance of health care providers, […]
NASHP Identifies State Strategies to Address Mental Health and Education Inequities
/in Policy Colorado, Connecticut, Delaware, Minnesota, Ohio Blogs Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Najeia MentionState policymakers increasingly recognize the need to address the social determinants of health — housing, employment, education, and income — to reduce health care costs and improve population health. Educational attainment, for example, provides dividends for overall health. People with higher levels of education generally live longer and experience healthier lives. The quality of education […]