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. 
























































































































































Medicaid’s Role in Prevention, Population Health, and Building a Culture of Health at the State Level
/in Policy Webinars Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP WritersImproving Health through Housing: Three Tips For State Policymakers
/in Policy Blogs Chronic Disease Prevention and Management, Community Benefit, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by NASHP WritersState and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. Numerous studies show that housing and housing supports can help vulnerable populations improve and maintain health while lowering hospital and other costs for state and local governments. Addressing health and housing can also further state […]
Federal and State Collaboration to Improve Health Through Housing
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP WritersState and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. The cross-sector nature of efforts to provide health care, housing, and housing-related services to vulnerable populations can make it difficult for health and housing policymakers to align and coordinate their work. With support from The […]
What can States do during Public Health Crises? Lessons Learned from Environmental Threats in Michigan, Rhode Island, and West Virginia
/in Policy Michigan, Rhode Island, West Virginia Annual Conference, Blogs Chronic Disease Prevention and Management, Community Health Workers, Health Equity, Population Health, Social Determinants of Health /by Alexandra KingWhen it comes to prevention, identification, and mitigation of public health crises states are at the forefront. These crises require a multi-sector state agency approach as often they disproportionally impact disadvantaged communities and are linked with challenging social determinants of health. The conversation regarding preparation and mitigation of these disasters has received increased national attention […]
Webinar: Hospital Community Benefit Spending: How to Increase Investments in Population Health
/in Policy Webinars Chronic Disease Prevention and Management, Community Benefit, Health Equity, Population Health, Social Determinants of Health /by Olivia BaconMoving the Needle on Health Outcomes: State Strategies for Advancing Health Equity
/in Policy Louisiana, Virginia Annual Conference, Blogs Accountable Health, Chronic Disease Prevention and Management, Health Equity, Population Health, Social Determinants of Health /by Felicia HeiderStark health disparities make it difficult to move the needle on health outcomes and costs and reflect the fact that states face a variety of political and resource constraints when it comes to implementing health equity initiatives. Minority groups disproportionately bear the burden of disease. The CDC reports that when compared with white adults, African […]
Coverage of Maternal, Infant and Early Childhood Home Visiting Services
/in Policy South Carolina Blogs, Webinars Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, EPSDT, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by Alexandra KingResearch has shown that a quality home visit by a nurse, social worker, early childhood educator or other trained personnel during pregnancy and early parenting can improve the lives of families and their children both at an early age and well into adolescence and early adulthood. The Centers for Medicare and Medicaid Services (CMS) and […]
From A to Zika: Three Tips from State Health Policymakers on Infectious Disease Crisis Preparedness and Response
/in Policy Florida, Pennsylvania, Texas Annual Conference, Blogs Blending and Braiding Funding, Chronic Disease Prevention and Management, Community Health Workers, Health Equity, Healthy Child Development, Infant Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Amy ClaryHigh-profile diseases such as Ebola and Zika grab headlines, but state health policymakers know that emergency preparedness begins long before the first news stories — or symptoms — appear. Preparedness and response often includes cross-sector work that addresses the intersections between public health infectious disease strategy and state Medicaid and emergency management policies. At the […]
A Labor of Love: State Policies and Partnerships to Lower Infant Mortality
/in Policy Colorado, Indiana, South Carolina Annual Conference, Blogs CHIP, Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Health Equity, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by Lesa Rair and Jill RosenthalState agencies across the country, from Medicaid to public health, to social services and corrections, are deeply engaged in multi-sector initiatives to reduce infant mortality. And for good reason — the United States ranks 25th among industrialized countries in infant mortality with a disproportionate number of being African Americans. Despite the gravity of the problem, […]
Challenges and Opportunities for Pediatric Medical Home Implementation and CYSHCN
/in Policy Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Infant Mortality, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Social Determinants of Health /by Felicia Heider and Barbara WirthNASHP in collaboration with the National Center for Medical Home Implementation developed a new fact sheet addressing challenges and opportunities to provision of care for children and youth with special health care needs (CYSHCN) enrolled in Medicaid managed care. The fact sheet identifies states that leverage Medicaid managed care to advance the pediatric medical home […]