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. 
























































































































































Resources to Help States Maximize their Hospitals’ Community Benefit Investments
/in Policy Featured News Home, Toolkits Community Benefit, Consumer Affordability, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health Community Benefit /by Elinor HigginsTo make sure hospitals’ community benefit investments address community and state health goals, many states are working to ensure that hospitals are held accountable and their investments truly improve community health and advance equity. In return for their tax exemptions, every three years nonprofit hospitals perform community health needs assessments (CHNA) and make investments to address the […]
How New York Is Safeguarding Pregnant Women during the COVID-19 Pandemic
/in Policy Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, COVID-19, Eligibility and Enrollment, Health Equity, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Taylor PlattA Centers for Disease Control and Prevention (CDC) study published in September found that pregnant women, especially Black and Latinx, are at increased risk of severe illness from COVID-19 compared to non-pregnant individuals. They are more likely to be admitted to intensive care units (ICU), receive invasive ventilation, and are at increased risk of death. […]
The Biden Health Plan and States: Opportunities for Collaboration
/in Policy Blogs, Featured News Home Administrative Actions, Consumer Affordability, COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Model Legislation, Population Health, Prescription Drug Pricing, State Insurance Marketplaces, State Rx Legislative Action /by Trish RileyAs he launched his Covid-19 Task Force this week, President-elect Joe Biden moved quickly to turn his health care campaign promises into policies in preparation for entering the Oval Office in January. In addition to ending the pandemic, Biden plans to build on the Affordable Care Act (ACA) by expanding access to and affordability of […]
The Forgotten Votes of 2020 – State Ballot Initiatives Addressing Health Concerns
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, Consumer Affordability, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Population Health /by Trish Riley and Amanda AttiyaAmid intense scrutiny of 2020 Presidential election results, little attention has been paid to health-related state ballot initiatives. While COVID-19 limited citizens’ ability to collect signatures to get questions on the ballot, citizens and legislatures in nine states placed health care-related issues on their state ballots.
New Tool Helps States Assess Hospital Community Benefit Spending on Health Equity
/in Policy Blogs, Featured News Home Community Benefit, Consumer Affordability, COVID-19, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health /by NASHP Staff2020 State Ballot Initiatives that Address Health Concerns
/in Policy Charts Chronic Disease Prevention and Management, Consumer Affordability, Health Equity, Health System Costs, Population Health /by NASHP StaffHow 10 States Connect their Health Improvement Goals to Hospital Community Benefit Investments
/in Policy Charts Accountable Health, Community Benefit, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health /by NASHP StaffThis resource highlights the goals of 10 states’ health and equity improvement plans, certificate/determination of need processes, and COVID-19 recovery and resilience plans. Policymakers can use the information in this chart and blog to make hospitals’ community benefit investments more accountable and effective by having them reflect state health goals and then measuring their progress. […]
Three States’ Strategies to Improve Behavioral Health Services Delivery through Medicaid Accountable Care Programs
/in Policy Colorado, Minnesota, Rhode Island Featured News Home, Reports Accountable Health, Care Coordination, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Quality and Measurement /by Neva KayeInfographic: Policy Levers to Address Health Equity by Reducing Lead Exposure
/in Policy Featured News Home CHIP, Chronic Disease Prevention and Management, Health Equity, Housing and Health, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Rebecca Cooper and Elinor HigginsThis infographic highlights how lead exposure and poisoning is a health equity issue, and the role that state Medicaid agencies and other systems play in reducing exposure to improve health outcomes. Additional resources are listed below the infographic. Additional Resources: Associations of Maternal & Child Health Programs: Lead poisoning prevention webpage. NASHP: 50-State Scan of […]
States Curb Racial Inequities in Rx Drug Affordability with Targeted Legislation
/in Prescription Drug Pricing California, Colorado, Minnesota Blogs, Featured News Home Administrative Actions, Chronic Disease Prevention and Management, Consumer Affordability, Health Equity, Health System Costs, Population Health, Prescription Drug Pricing, State Rx Legislative Action /by Amanda Attiya and Jennifer ReckLow-income individuals and communities of color, already besieged by poor access to health care, limited insurance coverage, and other health inequities exposed by COVID-19, also suffer another health disparity – they are among the hardest hit by continually rising prescription drug prices. Since 2017, states across the nation have taken action to lower rising drug […]