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. 
























































































































































Through Coordination and Investment, Arizona Substantially Increases Access to School-Based Behavioral Health Services
/in COVID-19 State Action Center, Policy Arizona Blogs, Featured News Home Back to School, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, EPSDT, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Anita Cardwell and Gia GouldBy leveraging federal Medicaid funding and state investment while simultaneously clarifying complex billing procedures and enhancing engagement with providers, Arizona has made remarkable progress in increasing student access to critical school-based behavioral health services. Arizona’s efforts to improve school behavioral health services began in 2018 when its state legislature allocated $3 million from the state’s […]
New Federal Resources Can Support States’ Affordable and Supportive Housing Programs
/in COVID-19 Relief and Recovery Resource Center Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, Housing and Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Relief and Recovery, Social Determinants of Health /by Allie AtkesonAcross the nation, COVID-19 has exacerbated the dual challenges of housing affordability and homelessness. As states address these issues, there are new federal resources available through the American Rescue Plan Act (ARPA) and proposed American Jobs Plan that states can deploy efficiently and equitably.
Earth Day 2021: State Officials Work to Address Climate Change and Improve Health
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, Health Equity, Population Health, Social Determinants of Health /by Johanna Butler, Rebecca Cooper and Elinor HigginsAmid the coronavirus pandemic, state officials have continued to plan for and address another looming public health crisis – climate change. In recognition of Earth Day, the National Academy for State Health Policy (NASHP) interviewed state officials to learn how they are preparing for the health impacts of climate change. The interviews revealed a wealth […]
State Plans for Vaccinating their Populations against COVID-19
/in COVID-19 State Action Center, Policy Charts, Featured News Home, Maps COVID-19, Health Equity, Immunization, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, Vaccines /by Rebecca Cooper, Ariella Levisohn and Jill RosenthalState Health Policy Resources to Promote Black Maternal Health and Equity
/in Policy Blogs, Featured News Home Health Equity, Infant Mortality, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP StaffEach year approximately 700 women die in the United States as a result of pregnancy or related complications, and Black women are three- to five-times more likely to die in childbirth than White women. In honor of the fourth Black Maternal Health week, April 11-17, 2021, sponsored by the Black Mamas Matter Alliance, the National […]
Michigan’s Caring for Students Program Leverages Medicaid Funding to Expand School Behavioral Health Services
/in Policy Michigan Blogs, Featured News Home Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health /by Anita Cardwell and Gia GouldDespite a federal rule change that allows states to bill Medicaid for school-based physical and behavioral health services provided to all Medicaid-enrolled students, many states struggle to overcome the persistent and complex billing challenges associated with receiving Medicaid reimbursement for delivery of these critical services. To access additional Medicaid funds to expand school-based behavioral health […]
Resources for States to Address Health Equity and Disparities
/in Policy Toolkits Accountable Health, Chronic Disease Prevention and Management, Community Benefit, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health Equity, Population Health, Social Determinants of Health Health Equity /by NASHP WritersMany 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.
Rhode Island’s Accountable Entities Emphasize Children’s Health and Social Needs
/in Policy Rhode Island Blogs, Featured News Home Chronic and Complex Populations, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Housing and Health, Integrated Care for Children, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Elinor HigginsIn the midst of the pandemic, many states are continuing to advance their health system transformation efforts. Rhode Island’s Medicaid Accountable Entities (AE) Program, for example, is shifting to a pay-for-performance model for several screening measures. Under this model, there is an additional financial incentive to screen children and their families for health and social […]
Medicaid Agencies Cultivate Partnerships and Deploy Data to Bolster COVID-19 Vaccination Efforts
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health IT/Data, Medicaid Managed Care, Population Health, Program Design, Quality and Measurement, Social Determinants of Health, Special Populations and Services, Vaccines /by Christina CousartCOVID-19 vaccine distribution has accelerated across states as the Biden Administration updates its vaccine goal to 200 million doses by April 23, 2021 and many states are opening eligibility to all adults by early April. The National Academy for State Health Policy (NASHP) recently spoke with several state Medicaid officials to learn more about how […]
States Address Racial and Ethnic Disparities in their COVID-19 Responses and Beyond
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Equity, Health Equity, Housing and Health, Population Health, Relief and Recovery, Social Determinants of Health /by Allie Atkeson and Rebecca CooperMore than a year into the pandemic, COVID-19 is proving to be a complicated syndemic with political, economic, and social factors influencing who is most at risk of infection and death. With communities impacted by structural racism facing higher COVID-19 infection and mortality rates, state responses and recovery plans are focusing on equity.