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. 
























































































































































How States Can Leverage Hospital Community Benefit Policy to Advance Health Equity
/in Policy Reports Community Benefit, Health Equity, Health System Costs, Hospital/Health System Oversight, Housing and Health, Making the Case for Action, Population Health, Social Determinants of Health /by Allie Atkeson and Elinor HigginsHow States Can Hold Hospitals Accountable for their Community Benefit Expenditures
/in Health System Costs Blogs, Featured News Home Community Benefit, Health Equity, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Population Health, Social Determinants of Health /by Allie Atkeson and Elinor HigginsThe 2021 American Rescue Plan Act’s Major Health Care Provisions
/in COVID-19 Relief and Recovery Resource Center Blogs, Featured News Home Consumer Affordability, COVID-19, Eligibility and Enrollment, Equity, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Medicaid Expansion, Population Health, Relief and Recovery, Social Determinants of Health, State Insurance Marketplaces, Workforce Capacity Recovery and Relief /by Christina CousartState Policy Center for Opioid Use Disorder Treatment and Access
/in Policy Featured News Home, NASHP News, Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, COVID-19, Featured Policy Home, Health Equity, Physical and Behavioral Health Integration, Population Health /by Jodi Manz and Kitty PuringtonJohnson & Johnson COVID-19 Vaccine Helps States Boost Supply, But Messaging Remains Critical
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Equity, Housing and Health, Population Health, Social Determinants of Health, Vaccines /by Ariella LevisohnThe US Food and Drug Administration’s (FDA) recent approval of the one-dose Johnson & Johnson (J&J) vaccine, which is easier to store and transport than others and reportedly causes fewer side effects, offers opportunities for states to improve vaccination outreach. At a time when supply remains one of the largest barriers to vaccine administration, the […]
State Strategies for Vaccinating Individuals Experiencing Homelessness against COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Equity, Housing and Health, Population Health, Social Determinants of Health, Vaccines /by Ariella LevisohnIndividuals experiencing homelessness often face more barriers to obtaining a COVID-19 vaccination than others. As more vaccines become available and supplies increase, new and emerging best practices for vaccinating individuals in homeless shelters may help states more efficiently vaccinate other hard-to-reach or medically vulnerable populations, such as those living in rural areas or congregate settings. […]
How States Use Federal Medicaid Authorities to Finance Housing-Related Services
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, Housing and Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Allie AtkesonMedications for Opioid Use Disorder (MOUD) Provided in State Prisons, March 2021
/in Opioid Center Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by NASHP StaffEye on the Storm: Two NASHP Staffers in Texas Reflect on Weathering Winter Storm Uri
/in Policy Texas Blogs, Featured News Home COVID-19, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by Eskedar Girmash and Sarah LanfordLast month, Winter Storm Uri caused catastrophic power outages across Texas. National Academy for State Health Policy staff Eskedar Girmash and Sarah Lanford, who work remotely from Dallas and Houston during the pandemic, were both without power for four days as temperatures fell to single digits and they lost access to water. At least 58 people died trying to stay warm, and more […]
New Jersey Medicaid Implements New Policies to Improve Maternal Health
/in Policy New Jersey Blogs, Featured News Home Health Equity, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health /by Taylor PlattNew Jersey, like many states, faces rising maternal mortality rates and racial disparities. A recent review of pregnancy-related deaths in the state from 2009 to 2013 found 46.2 percent of deaths occurred in Black women, compared to 26.9 percent in White women. With approximately 40 percent of New Jersey’s births covered by Medicaid, the governor’s […]