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. 
























































































































































Building an Equitable Health Care Delivery System: Federal and State Strategies
/in Policy Louisiana, Ohio Webinars Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by NASHPThursday, April 2, 2015: Federal and state policymakers are increasingly focused on addressing health disparities as part of their approach to improving health, improving health care quality, and reducing costs. This webinar discusses aligning payment models, creating new partnerships, and building infrastructure and data systems to achieve health equity. Speakers from Ohio and Louisiana describe their states‘ health equity initiatives and federal programs they are leveraging. An official from the CMS Office of Minority Health describes federal resources to help states advance health equity and opportunities for alignment of federal and state activities.
Achieving a Culture of Health: Governors Weigh In
/in Policy Accountable Health, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Housing and Health, Population Health, Social Determinants of Health /by NASHP and Kaitlin SheedyGovernors hold a unique capacity to help promote a culture of health using the tools of their state governments in purchasing, regulating, and policymaking. In their 2015 State of the State or inaugural addresses, governors referenced a variety of health issues and are recognizing the need for policies to focus more broadly in order to […]
Achieving a Culture of Health: Governors Weigh In
/in Policy Blogs Accountable Health, 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 Kaitlin SheedyGovernors hold a unique capacity to help promote a culture of health using the tools of their state governments in purchasing, regulating, and policymaking. In their 2015 State of the State or inaugural addresses, governors referenced a variety of health issues and are recognizing the need for policies to focus more broadly in order to […]
Achieving a Culture of Health: Governors Weigh In
/in Policy Reports 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 NASHPGovernors hold a unique capacity to help promote a culture of health using the tools of their state governments in purchasing, regulating, and policymaking. Governors in 48 states made State of the State or inaugural addresses in 2015, laying out their priorities for the year ahead. In these addresses, 40 governors referenced health issues such […]
Building An Equitable Health Care Delivery System: Considerations For State And Federal Policymakers
/in Policy Reports 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 NASHPHealth disparities persist in the United States, with disadvantaged groups disproportionately bearing the burden of poor health outcomes and shortened lifespans. States cannot effectively control healthcare costs or improve quality without addressing health disparities. Fortunately, state and federal policymakers can work together to build an equitable health care delivery system by aligning payment models, creating […]
Bang for Your Prevention Bucks: Massachusetts’ Model to Maximize Health Care Savings
/in Policy Massachusetts Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by NASHP and Ledia TaborThe Massachusetts Prevention and Wellness Trust Fund (PWTF) is a unique state model that supports community-based partnerships, including municipalities, healthcare systems, businesses, regional planning organizations, and schools, to work together to provide research-based interventions that will improve health outcomes and reduce costs. In 2012, the PWTF was established through the state’s health care cost-containment legislation, […]
Bang for Your Prevention Bucks: Massachusetts’ Model to Maximize Health Care Savings
/in Policy Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by Ledia Tabor and Taylor KniffinThe Massachusetts Prevention and Wellness Trust Fund (PWTF) is a unique state model that supports community-based partnerships, including municipalities, healthcare systems, businesses, regional planning organizations, and schools, to work together to provide research-based interventions that will improve health outcomes and reduce costs. In 2012, the PWTF was established through the state’s health care cost-containment legislation, […]
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by NASHP*Chart updated March 6, 2015 The Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is […]
Don’t Treat Me Like a Kid! Challenges in Covering and Caring for Adolescents
/in Policy Annual Conference CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health /by StaffSpeakers: Lee Partridge Rebecca Mendoza Tony Rodgers Although policy makers often think of adolescents as children in regard to coverage under public programs, adolescents have distinct service utilization, developmental, and health care needs that differ from those of younger children. This session will look at innovative state approaches to integrating behavioral, social, and personal health […]
Financing Prevention: How States are Balancing Delivery System & Public Health Roles
/in Policy Reports Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Carla Plaza, Abigail Arons, Jill Rosenthal and Felicia HeiderThis report, developed by the National Academy for State Health Policy and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement […]