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. 
























































































































































States Quickly Retool Strategies to Maximize Vaccination Coverage
/in COVID-19 State Action Center Blogs, Featured News Home Cost, Payment, and Delivery Reform, COVID-19, Health Coverage and Access, Health Equity, Population Health, Quality and Measurement, Quality and Measurement, Social Determinants of Health, Vaccines, Workforce Capacity /by Ariella Levisohn, Rebecca Cooper and Jill RosenthalFaced with limited vaccine supplies, a slow rollout of federal funds, and new federal guidelines allowing vaccination of those 65 and older, states face distribution challenges as they quickly evaluate which mass immunization practices are most effective.
Texas Improves Access to Routine Oral Health Services for Very Young Children
/in Policy Texas Child Oral Health, Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Social Determinants of Health /by Veronnica ThompsonThough largely preventable, tooth decay (caries) is the most common chronic disease in US children, affecting approximately 23 percent of children ages 2 to 5.[1],[2] Texas’s First Dental Home and its enhanced bundled payment has increased access to preventive dental service and improved the oral health of Medicaid-enrolled children ages 6 to 35 months. Providing […]
Michigan Medicaid Addresses Social Determinants of Oral Health through Dental and Medical Contracts
/in Medicaid Managed Care Michigan Blogs, Featured News Home Child Oral Health, CHIP, Consumer Affordability, Cost, Payment, and Delivery Reform, EPSDT, Health Coverage and Access, Health Equity, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health, Special Populations and Services, Workforce Capacity /by Ariella LevisohnInequities in dental care are prevalent across the United States, with significant disparities based on age, race, ethnicity, and socioeconomic status. Economic factors, such as ability to pay for dental insurance, and social factors such as food insecurity and access to nutritious food options also play a large role in oral health outcomes. In Michigan, […]
State Approaches to Reimbursing Family Caregivers of Children and Youth with Special Health Care Needs through Medicaid
/in The RAISE Act Family Caregiver Resource and Dissemination Center Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, COVID-19, EPSDT, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Olivia Randi, Eskedar Girmash and Kate HonsbergerWith CDC Eviction Ban Extended One Month, States Step Up with Additional Protections
/in Policy Chronic Disease Prevention and Management, COVID-19, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by Allie AtkesonSix States Join NASHP and AcademyHealth’s Community of Practice to Boost Immunization Rates in Medicaid-Enrolled Pregnant Women and Children
/in Policy Louisiana, Michigan, Washington, Wisconsin, Wyoming Blogs, Featured News Home Chronic Disease Prevention and Management, Health Equity, Immunization, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health /by Rebecca Cooper, Jill Rosenthal and Ariella LevisohnThe National Academy for State Health Policy (NASHP) and AcademyHealth, with support from Immunize Colorado, are facilitating a new community of practice (CoP) comprised of state health officials from six states interested in improving their immunization rates. Funded by a US Centers for Disease Control and Prevention (CDC) cooperative agreement, the Immunization Barriers in the […]
NASHP Maternal and Child Health Policy Innovations Program Policy Academy – Call for Applications
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, Health Equity, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health /by NASHP StaffThe United States is facing a maternal mortality crisis. Rising maternal mortality rates in states have far reaching consequences for the health and well-being of women, children, and their families. States are grappling with a number of factors in their efforts to improve access to quality care for this population and strengthen the systems serving them. Through the Maternal […]
2020 COVID-19 State Restrictions, Re-openings, and Mask Requirements
/in COVID-19 State Action Center, Policy COVID-19, Health Equity, Population Health, Social Determinants of Health /by NASHP StaffState Medicaid and CHIP Strategies to Protect Coverage during COVID-19
/in COVID-19 State Action Center Charts, Featured News Home CHIP, CHIP, COVID-19, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Population Health /by Gia GouldFive States Break Down Interagency Silos to Strengthen their Health and Housing Initiatives
/in Medicaid Managed Care Illinois, Louisiana, New York, Oregon, Texas Featured News Home, Reports Chronic Disease Prevention and Management, COVID-19, Health Equity, Housing and Health, Population Health, Social Determinants of Health, Special Populations and Services /by Allie Atkeson, Ariella Levisohn and Jill Rosenthal