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Commentary

This commentary examines how in late June, the U.S. Department of Health and Human Services (HHS) issued its first proposed rule governing the health insurance markets and marketplaces.

Commentary

This commentary explains how increased flexibility in the delivery and payment of telehealth across many coverage programs, but particularly in Medicaid and CHIP, throughout the COVID-19 pandemic has been a significant shift for some states. Many state officials are considering if and how to adapt rapidly implemented telehealth policies as the nation emerges from the public health emergency. 

Report

This report examines how a public option that typically pays Medicare rates would considerably reduce the cost of increasing coverage in the Medicaid gap.

Report

This report assesses racial disparities in the quality of inpatient care using 11 patient safety indicators that measure rates of adverse patient safety events of hospital-acquired illnesses or injuries.

Commentary

This commentary explains the federal government’s goal of reducing new HIV infections by 90% by 2030, the CDC has identified two policy strategies that states can employ for HIV prevention – provision of Pre-Exposure Prophylaxis medication and availability of Syringe Service/Exchange Programs.

Podcast

This podcast covers how effective data measurement is critical for Medicaid programs seeking to advance health equity and better understand different experiences of populations served by the program.

Commentary

This commentary examines how Washington implemented the nation’s first public option for the 2021 plan year and in the first six months of 2021, states made significant progress in advancing public option proposals, with public option legislation advancing in Colorado, Nevada, and Oregon.

Commentary

This commentary explains how since March 2020, many states have rapidly leveraged federal and state flexibilities under the public health emergency to expand telehealth capabilities and reimbursement through both public and private payers.

Report

This report examines how governments and organizations adopt community engagement approaches to collaborate and share power with communities that experience health inequities.

Commentary

This commentary examines how recent approval of the Alzheimer’s drug Aduhelm under the U.S. Food & Drug Administration’s Accelerated Approval Program is controversial for a range of reasons, including its projected impact on state Medicaid budgets which will be required to cover the drug, priced at $56,000 a year, despite inconclusive evidence of its clinical effectiveness. 

Report

This report examines the U.S. Census Bureau’s Household Pulse Survey to study the relationship between the COVID-19 pandemic and mental health burdens for the United States’ adult population.

Commentary

This commentary analyzes how the U.S. Departments of Health & Human Services and Treasury have released a proposed rule governing the Affordable Care Act health insurance marketplaces and insurance standards for the plan year 2022.

Blog

This blog explains the harm reduction public health approach that aims to reduce harms related to substance use by treating people with dignity and compassion.

Commentary

This commentary demonstrates how data analysis is an essential tool for advancing health and racial equity.

Report

This report describes how the US supply of COVID-19 vaccines has increased in recent months, and demand starting to level off most states were at or near having more vaccines available than people who want them as of May 2021.

Commentary

This commentary explains that on June 17 the Supreme Court decisively rejected California v. Texas, the latest lawsuit before the Court that challenged the legality of the Patient Protection and Affordable Care Act of 2010.

Chart

This chart demonstrates how states are using a variety of approaches to provide doula services within their Medicaid programs to address inequities.

Commentary

This commentary explains how substance use disorders (SUD) and mental health conditions are prevalent among pregnant and postpartum people in the United States, and they have far-reaching consequences for the health and well-being of parents and their children.

Commentary

This commentary explains how the COVID-19 pandemic has exacerbated adverse childhood experiences, and children could be facing a surge of poor physical and mental health outcomes without adequate investment and focus to reduce the effects of ACEs.

Brief

This brief describes Nevada's new public option that is intended to provide consumers with comprehensive, but lower cost health insurance.

Webinar & Presentations

This webinar will provide an overview of the request for applications for NASHP’s upcoming State Policy Academy on Rural Mental Health Crisis Services, which will help states strengthen policies and strategies that support development, coordination, and delivery of mental health crisis services in rural areas.

Blog

This blog post highlight's the Virginia Department of Medicaid Services' efforts, successes, and challenges in building a culture of equity.

Report

This report identifies challenges and promising strategies for addressing maternal health inequities during the COVID-19 crisis and opportunities for sustained improvements to maternal health after the pandemic.

Podcast

This podcast discusses how People who live in rural areas often experience health disparities caused by barriers to health care, such as lack of transportation, a shortage of providers, and closures of rural hospitals.

Blog , Commentary

This blog overviews the state strategies to help ensure the equitable administration of COVID-19 vaccine.

Blog

This blog examines how the The American Rescue Plan of 2021 (ARP) — signed into law on March 11, 2021 – provides states with a one-year, 10 percentage-point increase to the federal medical assistance percentage (FMAP) for Medicaid expenditures on home and community-based services (HCBS) for children and adults.

Report

This brief provides evidence on persistent chilling effects among low-income immigrant families during the pandemic, drawing on data from the Urban Institute’s Well-Being and Basic Needs Survey.

Report

This report outlines promising state examples of accountable care organizations’ incentives or requirements that can be used to advance health equity.

Commentary

This blog outlines the Center for Health Care Strategies' recent interview with internist and pediatrician Nathan Chomilo, MD, Medical Director of Minnesota Medicaid and MinnesotaCare to get his perspectives on priority opportunities for addressing health equity for people served by the state’s Medicaid program.

Webinar & Presentations

This webinar explores state strategies to improve COVID-19 vaccine confidence and reach more communities in an equitable and efficient manner.

Commentary

This blog examines the pace of COVID-19 vaccination rollout in the United States as well as concerns that these early prioritization decisions and the existing mechanisms of the vaccine rollout have created challenges in equitably distributing the COVID-19 vaccine and could worsen existing pandemic-related health inequities. 

Commentary

This commentary looks at what data states are publicly reporting related to vaccine administration and features an interactive map that explores the extent to which states are reporting vaccine administration data breakdowns by age, gender, race, ethnicity, provider type, and level of geography.

Report

This report describes nonelderly adults’ perceptions of discrimination and unfair judgment while seeking health care in the months leading up to and during the COVID-19 pandemic.

Report

This report investigates differences in Black and white patient safety measures using complete hospital discharge records from 26 states in 2017 and further examines whether some of these differences in patient safety quality can be attributed to the hospitals into which they are admitted.

Report

This report highlights state-level strategies that aim to improve reporting of race and ethnicity data in vaccine distribution, use data to plan for allocation and distribution according to need, overcome systemic inequities that lead to differential access to COVID-19 vaccinations, and build trust in COVID-19 vaccines and COVID-19 vaccination processes.

Commentary

This commentary details how states are responding to racial and ethnic disparities in the COVID-19 pandemic, as well as how states are looking beyond the pandemic.

Brief

This brief provides updates to Medicaid Managed Care Contract Language: Health Disparities and Health Equity, published by SHVS which includes excerpts from managed care contracts, procurement questions, and other policy documents from twelve states and the District of Columbia.

Report

This report analyzes states’ experiences trying to resolve surprise medical payment disputes between health care providers and insurers.

Webinar & Presentations

This webinar offers insights and solutions for health care organizations and government entities to build effective partnerships with the individuals and communities they serve to better address their health and social needs.

Brief

This series of policy briefs include evidence-based recommendations to help people through the immediate health and economic crises and longer-term recommendations to ensure a fair and just opportunity for health.

Webinar & Presentations

This webinar features discussions on how states can use performance rates and disparities analyses from Medicaid managed care programs in other states to determine where disparities are likely to exist in their own state and develop interventions.

Report

This report provides excerpts of health disparities and health equity contract language from Medicaid managed care contracts and requests for proposals from 12 states and the District of Columbia as well as the contract for California’s state-based marketplace, Covered California.

Commentary

This commentary outlines how state officials are working to simultaneously build and strengthen systems to track and address disparities in COVID-19 vaccine administration.

Commentary

02.2021 / By Urban Institute

This commentary outlines how high-quality race and ethnicity data on COVID-19 vaccine distribution is crucial for equitable vaccine distribution.

Brief

This brief draws its key findings from the Michigan Coronavirus Racial Disparities Interim Report and other sources to explore Michigan’s approach, key features, results to date, and lessons learned.

Webinar & Presentations

In this video, speakers from the Robert Wood Johnson Foundation and the National Health Security Preparedness Index (NHSPI) discuss ways NHSPI can be used to guide change, the role geographic differences play in preparedness levels, how the COVID-19 pandemic has exposed health inequities, and much more.

Report

This report identifies six connected strategies to guide payers, including Medicaid agencies and managed care organizations, in developing equity-focused value-based payment approaches to mitigate health disparities at the state and local levels.

Commentary

This commentary examines the extent to which all 50 states are reporting vaccine administration data breakdowns by age, gender, race, ethnicity, provider type, and level of geography.

Report

This report examines the impact of COVID-19 on essential and nonessential workers needing to work in person at even higher risk for contracting COVID-19 and the need for policies and systems to protect and support them.

Report

This report explores how the pandemic contributed to inequitable patient and provider experiences with maternal health care during the prenatal, delivery, and postpartum periods.

Report

This report draws on interviews with maternal care stakeholders and available literature and reports to assess if and how our current data systems provide the information needed to track inequities in maternal health outcomes.

Commentary

This commentary explores the ways in which states are working to confront long-standing racial and ethnic disparities that the COVID-19 pandemic is laying bare.

Report

This report describes emerging opportunities and contributing success factors for advancing multi-sector data-sharing partnerships to improve health and well-being and advance equity.

Brief

This brief explores impediments and accelerants to advancing health equity as states are increasingly being called upon to drive change.

Webinar & Presentations

This tool helps states gather detailed information from hospitals about their community benefit expenditures and activities during the pandemic.

Report

This report assesses how adults and their families were faring six months into the COVID-19 pandemic.

Report

This report explores the strengths and deficiencies of maternal health care financing in the United States and the ways current policies and practices contribute to inequitable maternal health outcomes.

Report

This report examines how the COVID-19 pandemic has forced health systems, including perinatal services and support providers, to rely on telehealth, or the remote provision of care through telecommunications technology, to reach their clients.

Commentary

This commentary covers how states are working to ensure equitable distribution of resources and funding to promote health and safety for all during the COVID-19 pandemic.

Commentary

This commentary provides suggestions states can use to improve the completeness of Medicaid data on enrollee race, ethnicity, and language. 

Commentary

This commentary provides updated interactive maps that explore the current status of all 50 states and the District of Columbia’s reporting of COVID-19 case and death data breakdowns by age, gender, race, ethnicity, and health care workers.

Commentary

This commentary presents stories of innovative approaches to address food insecurity needs exacerbated by the COVID-19 pandemic.

Commentary

This commentary discusses how some states are bolstering their community health workforces to curb COVID-19 and improve the quality of care delivered to communities that have faced decades of discrimination.

Report

This report provides excerpts of health disparities and health equity contract language from Medicaid Managed Care contracts from five states, Washington, D.C., and the contract for California’s Health Exchange, Covered California.

Commentary

This commentary features insights from state health agencies and health insurance marketplaces that have actively identified opportunities to conduct outreach in communities disproportionately affected by COVID-19.

Commentary

This commentary provides interactive maps that explore the status of the 50 states' and District of Columbia’s reporting of COVID-19 case and death data breakdowns by demographic categories. 

Commentary

This commentary provides a survey of actions that state and local governments have taken to intentionally incorporate equity into their COVID-19 recovery and reopening policies. 

Commentary

This commentary provides state and local leaders with health equity principles that can serve as a compass to point leaders toward an equitable and lasting COVID-19 recovery. 

Webinar & Presentations

This webinar reported on how states are tracking the disproportionate impact of the disease on vulnerable populations and provided a framework for states to examine their COVID-19 response efforts to yield better outcomes for such populations. 

Commentary , Dataset

This commentary looks at which states are regularly reporting data that helps shed light on the health equity issues of the COVID-19 crisis.

Commentary

This commentary argues states can begin to foster a more equitable and just COVID-19 response, relief, and recovery effort by employing a few key guidelines. Asking a series of core questions and immediately responding with appropriate action can strengthen initial responses and lay the foundation for broader reforms to advance health equity.

Commentary

This expert perspective looks in depth at states that are regularly reporting COVID-19 health equity data.

Dataset

This data set tracks which states are reporting case and mortality data by race and ethnicity data on a state, zip code, or community level.

Commentary

This commentary looks in-depth at which states are regularly reporting data that helps shed light on the health equity issues of the COVID-19 crisis.

Report

This resource provides a six-step framework for healthcare organizations to improve minority health and foster equity.

Dataset

The 2020 County Health Rankings highlight how health outcomes and health factors differ by place within states and illustrates how health differs among racial/ethnic groups within places.

Commentary

This podcast discusses the many ways that states are working to address the challenges surrounding maternal and infant mortality, specifically the significant disparity experienced by black women,

Report

This report describes select policy and strategy levers that Medicaid agencies can employ to improve maternal health outcomes and address outcome disparities in five areas: coverage, enrollment, benefits, models of care, and quality improvement.

Report

This report focuses on how Medicaid programs can use data from the American Community Survey (ACS), to inform and target interventions that seek to address social determinants of health and advance health equity.

Report

This guide is intended for health departments as they continue their journey to become equity-focused organizations, both in awareness and practice.

Commentary

This analysis highlights the disparities between characteristics of populations most affected by housing affordability issues.

Report

This issue brief provides examples from a handful of states that have begun the work of identifying, evaluating, and reducing health disparities within their Medicaid managed care programs.

Report

05.2019 / By Urban Institute

This report assesses trends in self-reported measures of general health, mental health, activity limitations, and obesity by educational attainment from 1997-2017.

Brief , Graphic

Several states are developing accountable health models to improve health and control costs by addressing health-related community needs, such as transportation, recreation, and housing. This brief examines their organizational and governance structures.

Commentary

In this interview with Louisiana's Medicaid Director Jen Steele, she shares her approach to leveraging Medicaid’s role to improve health outcomes and health equity.

Brief

This brief explores opportunities to better address patients’ non-medical needs, including: identifying non-medical needs; employing non-traditional workers; partnering with community-based organizations/agencies; testing new technologies; and identifying funding.

Dataset

02.2019 / By National Equity Atlas

The National Equity Atlas is a comprehensive data resource to track, measure, and make the case for inclusive growth. It includes data on changing demographics, racial inclusion, and the economic benefits of equity—at city, region, state, and nationwide levels.

Report

This report highlights three states – Ohio, Oregon, and Washington – work using data, expertise, and evidence to modernize their public health systems.

Dataset , Graphic

This report provides a compilation of data on equity goals and progress for 28 measures of health, socioeconomic factors, physical and social environment, and access to health care. Each measure is presented by race, ethnicity, and socioeconomic status for all 50 states, the District of Columbia, and the nation.

Journal Article

This article uses data from the American Community Survey to examine changes in uninsurance and uninsurance disparities by race/ethnicity in Kentucky since the state’s implementation of the Affordable Care Act. It was published in the American Journal of Public Health.

Dataset , Report

The County Health Rankings is an annual county-by-county assessment that shows where we live matters to health. This year, we bring new analyses that show meaningful health gaps persist not only by place, but also among racial and ethnic groups. These gaps are largely the result of differences in opportunities in the places where we live. And, these differences disproportionately affect people of color.

Report

Studies show that health disparities are often passed down from socially disadvantaged parents to their children and grandchildren. Poor children begin life on an uneven playing field; they face greater challenges than their healthier, more advantaged classmates; and they often struggle as adults to accumulate wealth to share with—and bequeath to—their children. State and federal health policymakers play a crucial role in breaking this cycle of poverty and inequity so that all can live healthy, prosperous lives.

Report

As states transform their health systems, many are turning to community health workers (CHWs) to improve health outcomes and access to care, address social determinants of health, and help control costs of care. While state definitions vary, CHWs are typically frontline workers who are trusted members of and/or have a unique and intimate understanding of the communities they serve. These resources support state efforts to incorporate CHWs into their health and health equity improvement work.

Report

This report identifies solutions that could be developed, and implemented at the local or community level to advance health equity.

Webinar & Presentations

Increasingly, health departments are serving as leaders in communities to address the root causes of health inequities. This requires changing systems and policies, and working with non-traditional partners to ensure that all people have the opportunity to attain their highest level of health. On December 12, 2016, PHNCI explored the stories of two health departments working to transform communities such that zip codes do not dictate health outcomes. 

Brief

Stark health disparities make it difficult to move the needle on health outcomes and costs and reflect the fact that states face a variety of political and resource constraints when it comes to implementing health equity initiatives. While disparities still exist, all states have opportunities to advance health equity through a range of approaches, from incremental targeted programs to integration in broad health reform initiatives.

Brief

State agencies across the country, from Medicaid to public health, to social services and corrections, are deeply engaged in multi-sector initiatives to reduce infant mortality. And for good reason: the United States ranks 25th among industrialized countries in infant mortality with a disproportionate number of being African Americans.

Report

In an era of public health system transformation, public health departments around the nation are adapting — or “modernizing” — to meet the growing and changing needs of their communities. To help states navigate the challenges inherent in public health system transformation, three grantee states are participating in a learning community supported by PHNCI. The three states — Ohio, Oregon and Washington — are working to test and implement the systems transformations required to provide the foundational public health services statewide and ensure that all residents have equitable access to public health.

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