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. 
























































































































































Harm Reduction in the COVID-19 Era: States Respond with Innovations
/in COVID-19 State Action Center Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Equity, Population Health /by Mia Antezzo, Eliza Mette and Jodi ManzDespite COVID-19 workarounds, such as telehealth and virtual recovery programs enabled by flexible federal guidelines, more than 40 states have reported increases in drug overdoses during the pandemic, underscoring the importance of keeping state harm reduction programs as accessible as possible. As COVID-19 upends the nation’s health care systems, treatment for substance use disorder (SUD) […]
Webinar: Avoiding Dual Epidemics – State Strategies to Prevent Flu during COVID-19
/in Policy Arizona, Illinois Webinars Chronic Disease Prevention and Management, COVID-19, Health Equity, Population Health, Social Determinants of Health /by NASHP StaffStrategic planning for the 2020-2021 flu season during the COVID-19 pandemic is critically important to ensure that states do not experience dual epidemics this year. In this November, 2020 webinar, NASHP, in partnership with AcademyHealth and Immunize Colorado, provided a national overview of flu prevention priorities from the Centers for Disease Control and Prevention (CDC), […]
How Oregon Uses Medicaid Incentive Payments and Quality Measures to Improve Contraceptive Use and Timely Postpartum Care
/in Policy Oregon Blogs, Featured News Home Health Equity, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Quality and Measurement /by Eddy FernandezTo improve effective contraceptive use and timely postpartum care statewide, Oregon’s Medicaid program successfully used incentive payments and quality measures to increase the rates of effective contraceptive use from 35.4 to 46.8 percent between 2015 and 2018, and timely postpartum care from 61.3 to 68.2 percent between 2018 to 2019. Oregon implemented the quality incentive […]
States Work to Advance Racial Equity in COVID-19 Outcomes and Beyond
/in COVID-19 State Action Center Blogs, Featured News Home Chronic Disease Prevention and Management, Community Benefit, COVID-19, Health Equity, Housing and Health, Population Health, Quality and Measurement, Social Determinants of Health /by Elinor HigginsDisparities in states’ COVID-19’s health outcomes have driven home the need for policymakers to reassess their work to advance racial equity and redirect efforts to be more effective. A recent update to the National Academy for State Health Policy’s (NASHP) interactive map, How States Collect Data, Report, and Act on COVID-19 Racial and Ethnic Disparities, reveals […]
States Race to Create COVID-19 Vaccination Distribution Plans
/in COVID-19 State Action Center Blogs, Featured News Home Chronic Disease Prevention and Management, Consumer Affordability, COVID-19, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by Rebecca Cooper, Ariella Levisohn, Jill Rosenthal and Trish RileyAs development of a COVID-19 vaccine continues, states are racing to develop vaccine distribution plans and are eager to ensure that the administrative challenges of testing and personal protective equipment distribution are not repeated. They must orchestrate vaccine storage and administration, data tracking, and capacity issues while questions about who will ultimately pay for the […]
Results of a Five-State Community of Practice to Improve Medicaid Immunization Rates through Partnerships
/in Policy Blogs, Featured News Home CHIP, CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Immunization, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Rebecca Cooper, Jill Rosenthal and Ariella LevisohnFaced with persistent disparities in vaccination rates among children and pregnant women, a five-state community of practice, coordinated by the National Academy for State Health Policy (NASHP), AcademyHealth and Immunize Colorado, formed interdisciplinary, cross-agency teams to address access and other challenges to reduce immunization gaps among low-income pregnant women and children. Their approaches and lessons […]
Stand by Me: Supporting Long-Term Services and Supports Workers
/in The RAISE Act Family Caregiver Resource and Dissemination Center Oregon, Tennessee Chronic and Complex Populations, Health Coverage and Access, Health Equity, Long-Term Care, Population Health, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Wendy Fox-GrageDirect care workers play a critical role in the success of states’ long-term services and supports (LTSS) systems, but faced with COVID-19, low wages, and few advancement opportunities, states struggle to retain this workforce. Recently, state leaders came together virtually at National Academy for State Health Policy’s annual conference to share strategies to improve recruitment […]
NASHP Launches Emerging Leaders of Color Fellowship
/in Policy Health Equity, Population Health, Social Determinants of Health /by Trish RileyAfter the deaths of George Floyd and Breonna Taylor, I wrote, “For organizations like NASHP, it is not enough to speak out – we need to redouble our efforts, along with our state partners, to combat racism and ensure health equity.
How States Can Advance Health Equity while Addressing Health System Costs
/in Health System Costs, Policy Blogs, Featured News Home Accountable Health, Chronic Disease Prevention and Management, Community Benefit, COVID-19, Health Equity, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Population Health, Quality and Measurement, Social Determinants of Health, Total Cost of Care Benchmark /by Adney RakotoniainaMedicaid Agencies Implement Innovative Outreach Strategies: Lessons from Kentucky and Virginia
/in COVID-19 State Action Center Kentucky, Virginia Blogs, Featured News Home CHIP, CHIP, COVID-19, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Population Health /by Gia GouldAs the pandemic continues and more individuals lose jobs and health insurance, the demand for Medicaid and Children’s Health Insurance Program (CHIP) coverage is rising. Kentucky and Virginia – stripped of their traditional, in-person enrollment strategies – have adapted their outreach efforts to help make enrollment as easy as possible for adults and children to […]