This blog highlights a new Commonwealth Fund brief, which documents the policies and practices State Based Marketplaces have implemented to facilitate access to health insurance information for Limited English Proficiency individuals and otherwise meet their needs.
This resource center offers tools for providers, community partners, family and patient leaders, policymakers, and others seeking to transform child healthcare through identified key strategies, including: adopting anti-racists policies to advance equity; co-creating equitable partnerships between patients, families, and providers; and identifying family strengths and addressing health-related social needs.
The blog explores why improving collection of and access to high-quality data is imperative in helping policymakers understand and develop effective solutions to address mechanisms that lead to poor maternal health outcomes.
This blog examines the role of state advisory councils in emergency preparedness planning and how public health leaders can create a public health ethics committee to ensure equitable resources allocation during an emergency response.
This blog examines systemic barriers to health care coverage that the LGBTQ+ community faces, and highlights a few key coverage and access issues that continue to impact LGBTQ+ individuals with private health insurance.
This blog highlights key themes from a roundtable with three leaders about the importance of mentoring, engaging, empowering, and celebrating Black women in Medicaid to support their career development.
This blog highlights a conversation between ASTHO's Marcus Plescia and healthcare, technology, and policy experts from across the field, in which they discussed the future of measuring health equity in a world of rapidly evolving data.
This podcast episode explores how coordinating reentry and support services with community partners can improve the lives of people impacted by the justice system, and potentially help reduce rates of recidivism.
Addressing Health Related Social Needs (HRSN) in 1115 demonstrations can help states improve coverage, access, and equity. This blog examines innovative state demonstrations and implications for cross agency partnerships.
This blog discusses key themes underlying many of the 2024 rules including the administration's commitments to advancing health equity, improving the costumer experience, and expanding marketplace enrollment.
This blog examines the role of breastfeeding in early childhood nutrition security, how states have been promoting breastfeeding and nutrition security, and recommendations for state and territorial agencies.
This report highlights how communities of color counter structural racism and oppression by creating culturally effective community-based programming that promotes equitable outcomes for people who use drugs.
This webinar highlights how Denver Health, a health system in Colorado, is implementing a trauma-and resilience-informed approach into organizational policy and practice, while also focusing on addressing systemic racism and biases.
As states prepare to unwind the COVID-19 pandemic-related Medicaid continuous coverage requirement and resume terminations of coverage as soon as April 1, this blog examines how they could streamline eligibility determinations for older adults and people with disabilities, who face unique challenges with the Medicaid enrollment and renewal process.
This issue brief outlines the ways in which such efforts can improve communication, lead to more effective and efficient programs, and result in ongoing collaboration with people who have experienced state-run systems and services.
This blog discusses a technical assistance program out of the New York State Department of Health (NYSDOH) and the Rhode Island Department of Health (RIDOH) to develop and expand cross-sector collaborations with housing.
This commentary explores how Medicaid saved Laticia's life who battled with gastrointestinal problems and mental health issues. Medicaid provided healthcare visits, medication and therapy for her anxiety and depression.
Supported by the Robert Wood Johnson Foundation, Raising the Bar provides an actionable framework for the entire healthcare sector to embed equity throughout its work and help achieve optimal health for all.
This commentary tells the story of Danielle, whose small business struggled in the opening months of the COVID-19 pandemic. In addition to trying to keep her business afloat, Danielle also had to care for her son and home school him. Medicaid provided Daneille with the mental health support needed to keep moving forward during an incredibly challenging period.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This report provides excerpts of health disparities and health equity language from Medicaid managed care (MMC) contracts and requests for proposals (RFPs) from 17 states and the District of Columbia. The criteria for inclusion in this compendium are contracts and RFPs that explicitly address health disparities and/or health equity.
The Affordable Care Act (ACA) requires most insurers and employers to cover a set of preventive health services at no cost to enrollees. This blog analyzes a case pending in federal court that threatens to cut off consumers’ access to these services by allowing insurers to impose cost-sharing or, in some cases, cease covering them altogether.
This blog examines how employers’ decisions on whether and how to cover travel costs related to abortion care will have a significant impact on whether workers are able to access abortion services far from home.
This commentary tells the story of Adrian, who works with the Medicaid-funded Mississippi Youth Programs Around the Clock program. Adrian's work provides youth and their families with needed "wraparound" services to cultivate healthier communities.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog provides lessons learned from committed patient partners while developing a Patient-Centered Complex Care Research Agenda, which aims help inform other organizations seeking to include patient perspectives to guide research priorities.
With new budget initiatives, a California Momnibus Act, and a new Medicaid transformation initiative, the state is seeking to advance more whole-person care for pregnant and birthing people, and to ensure and expand access to reproductive health care, including abortion services.
Almost two-thirds of adults in the United States have experienced at least one adverse childhood experience (ACE). This document synthesizes evidence-based policies and programs that address clinical, community, and policy-level interventions that can prevent ACEs and mitigate consequences.
This web series spotlights new voices and ideas in health services research. In this video, Dr. Monica McLemore, nurse-scientist and clinician of 28 years talks about using research to address racism, funding and implementation, and her hopes for the future of HSR and nursing sciences.
This commentary tells the story of Sonia who took on the life-changing responsibility of adopting a family member’s young son Amir, who has developmental disabilities. Medicaid provided Amir with preventive doctor visits, X-rays, and speech and occupational therapy.
This blog explores the Data Across Sectors for Health (DASH) Framework which highlights the most important landmarks to consider within the landscape of data sharing to help improve the well-being of people and their communities.
This commentary tells the story of Naomi who enrolled in Medicaid after she lost her job when pregnant with her son, who was born prematurely. Medicaid provided in-home attendants, a wheelchair, medications and other necessities to help improve her son's quality of life.
Since 2000, rates of suicide and substance overdose mortality have steadily increased in the United States. This podcast explores how healthcare leaders are working in their communities to set youth up to thrive by using behavioral health data to build resilience, incorporate youth voices, and support communities in their suicide and substance use prevention efforts.
This blog explore three newly released or trial-phase databases and their implications for future health services research, spotlighted at a recent panel discussion hosted by The Agency for Healthcare Research and Quality.
This commentary tells the story of Regina, who is able to help provide her daughter with physicals, immunizations, dental visits and medication—which the family couldn’t obtain without Medicaid coverage.
This blog post by researchers at AcademyHealth discusses the benefits of having an affirming provider to address health inequities among LGBTQ+ older adults, as well as shares resources to increase capacity for LGBTQ+ affirming care.
This resource page recaps the Center for Health Care Strategies' recent webinar highlighting two California-based, cross-sector initiatives focused on improving healthcare for people experiencing homelessness by meeting the population where they are.
This report evaluates a series of evaluations of Robert Wood Johnson Foundation programs that address health inequities. The evaluations explore innovative approaches to equity-focused payment reform and integrated models of care and outline key findings and recommendations to inform future activities.
Most experts in the public health field agree that the value of data depends on what is measured and what measures are implemented. This blog post from Data Across Sectors for Health highlights the importance of peer learning when leveraging data to improve overall health and well-being.
The Center for Health Care Strategies recently spoke with Jacey Cooper, California’s Medicaid director, to explore how CalAIM seeks to improve care for Californians experiencing homelessness and what other states can learn from this work.
This report offers the evidence and rationale for a policy-based approach to reduce tobacco use. It also provides (1) principles for advancing tobacco control policies and working with Tribal nations and (2) a summary of the changing tobacco control landscape, including the youth e-cigarette epidemic, information on health disparities and health equity, and addressing related issues such as marijuana, e-cigarette or vaping use-associated lung injury (EVALI), and COVID-19.
This brief examines both combined and individual rates of reported anxiety and depression symptoms for the total adult population as well as by specific breakdowns, including age, gender, race/ethnicity, income categories, and education levels.
For years, Medicaid leaders have faced a mounting children’s behavioral health crisis — made worse by the pandemic. In this episode of the Medicaid Leadership Exchange podcast, three Medicaid leaders discuss the behavioral health needs of children and opportunities for Medicaid to better support those needs.
This commentary tells the story of Theresa. At an early age, she was diagnosed with Spastic Quadriplegia Cerebral Palsy, a disorder that affects a person’s ability to maintain balance and posture. Now in her 40s, Medicaid allows her to work and live independently. It also provides her with speech, physical and occupational therapies, a wheelchair and the help of personal care attendants who assist with basic needs such as meal preparation, cleaning, dressing, and laundry.
This blog post offers suggestions on what states need to consider when they structure primary care investments, including how to ensure that spending reaches patients with the highest needs and improves care delivery.
This blog post provide an analysis of the National Center for Health Statistics (NCHS) health insurance coverage estimates for 2021 from the National Health Interview Survey (NHIS) as part of the NHIS Early Release Program. The estimates captured in this report are some of the first available coverage estimates for 2021 from a federal survey.
This toolkit is designed to help state and local WIC agencies leverage data from Medicaid and SNAP to measure enrollment gaps and increase enrollment using tools to plan, launch, and/or strengthen data matching and targeted outreach to eligible families who are not receiving WIC benefits.
This blog post seeks to review updates to five existing guidelines: Well-Women Preventive Visits, Breastfeeding Services and Supplies, Counseling for Sexually Transmitted Infections (STIs), Screening for Human Immunodeficiency Virus (HIV) Infections, and Contraception.
This blog answers questions about the ACA's "family glitch," a flawed regulatory interpretation that has created barriers to coverage. The current administration is currently working to correct this interpretation that prevents 4.8 to 5 million individuals from accessing more affordable health insurance.
This interactive map summarizes state Medicaid reimbursement policies for all types of midwives including certified nurse-midwives and midwives who pursue alternative pathways to licensure, often referred to as certified professional midwives, certified midwives, or direct entry midwives depending on state regulations.
This commentary tells the story of Nicholas who requires some extra assistance with daily activities as a result of his autism. Medicaid helps afford all of his caretakers and provides him with transportation to and from his job as a COVID-19 front-line worker.
This blog, briefly reviews the research regarding the Medicaid undercount in the CPS, provides estimates of how it varies across states in 2020, and discusses the impact of assigning single coverage for those with multiple sources on the Medicaid undercount in the CPS.
This commentary tells the story of Margot C., who has limited mobility due to rheumatoid arthritis, fibromyalgia, and a spinal cord injury. Medicaid provided her housing in a residential care setting that her private insurance could not provide. Now, Margot helps her peers sign up for Medicaid.
This blog explores the Hospital Cost Tool which identifies different cost measures including hospital revenue, cost to charge ratios, and profitability across more than 4,600 hospitals nationwide from 2011 through 2019.
This brief reviews the regulatory framework for network adequacy for Medicaid Managed Care Organizations and Marketplace qualified health plans and identifies policies and practices to ensure their networks include the number and mix of providers that enrollees need.
This blog post highlights California's and New Jersey's approaches to preventing and mitigating the effects of early adversity on children and families as well as supporting resilience-building in their communities.
This commentary tells the story of Maddy K., a 23-year-old who has Asperger syndrome who is able to work two part-time jobs, volunteer frequently, and be part of a community organization for those with disabilities because of Medicaid's ability to provide her with essential transportation.
This blog explores strategies on how to invest in the development of Medicaid leaders to help states and territories improve the health and well-being of people served by publicly financed care.
Key tips include:
Always have a plan b, plan c, and plan d.
Build relationships and find a common thread.
Fill the void.
This commentary tells the story of Andre H., who after turning 23 was no longer able to afford medication and proper care to treat his sickle cell disease. After receiving Medicaid, he no longer had to choose between paying rent or buying the medication that keeps him alive.
This blog provides takeaways from the Massachusetts One Care Program, highlighting the impact of engaging members with disabilities in care planning and strategies that health systems and payers can use to advance health equity through improved engagement with people with disabilities.
This commentary tells the story of Dominique G., who spent most of her life in hospitals due to sickle cell disease. Medicaid coverage provided her regular hematologist visits, appropriate equipment and medications to make living at home possible.
This Blog explores Oregon's new kindergarten readiness incentive metric in its Medicaid program focused on social-emotional health to help solidify the connection between a child’s health and their success in school and beyond.
This blog explores a set of primary care standards to help states explicitly make health equity a focus of primary care standards and incentivize practice-level activities aligned with broader state health equity goals.
This blog provides Medicaid agencies with examples of how different states are leveraging their managed care programs, inclusive of contracts, quality initiatives, and procurement processes, to promote health equity and address health disparities.
This blog examines some of the key factors and decision points states may want to consider as they build out mobile mental health crisis services and systems that qualify for enhanced federal medical assistance percentage funding; engaging a cross-agency team and a broad range of external stakeholders can help ensure full consideration of diverse state crisis needs.
This brief offers considerations for policymakers around the Children’s Health Insurance Program coverage as a method of enabling states to provide prenatal, labor and delivery, and postpartum services to pregnant individuals, regardless of immigration status.
This blog post sheds light on how Pennsylvania has taken steps to better understand how to mitigate the racial bias by collecting information on how Medicaid Managed Care Organizations are using algorithms, the types of proxies being used, and the outcomes as a method to develop their health equity strategies.
This blog provides a high-level overview of a range of state-level measures which may help states understand and track trends across indicators of health equity, such as health insurance coverage, health care access and affordability, and quality of care.
This toolkit allows states to assess their existing health insurance rate review laws for the authority to regulate hospital cost growth; and proposes model statutory and regulatory text to provide a state insurance commissioner with the ability to condition health insurance rate approval on meeting affordability standards in hospital cost growth.
This blog post describes how the COVID-19 pandemic has created historically large disruptions to the economy and health insurance coverage at a time when having access to health care is especially important.
This report examines how many immigrant families have avoided safety net and pandemic relief programs in recent years over concerns that their participation would have adverse immigration consequences.
This graphic illustrates how the racial inequities exposed by COVID-19’s case and death rates can guide states as they target testing initiatives, vaccination distribution, and broader initiatives to address inequities in communities of color.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.
This report offers four recommendations for policymakers to integrate individuals with lived expertise as partners in program and policy design, implementation, and evaluation to more effectively address food insecurity.
This commentary highlights how states have advanced two separate but related initiatives to tackle rising healthcare costs: cost-growth benchmarks to track and contain overall healthcare spending; and prescription drug affordability boards to conduct reviews of high-cost prescription drugs and set limits on what can be paid for these drugs in the future.
The brief focuses on actions Medicaid agencies can pursue through their managed care programs or directly with provider organizations and highlights state interventions and collaborations that demonstrate promise in reducing disparities and begin to center equity in birth-related health policies.
This webinar provide an overview of strategies for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Medicaid continuous coverage requirement ends.
This brief highlights a Nevada program that aims to target oral health care gaps among children who rely on school-based sealant programs to prevent dental decay, the most common chronic condition among children.
This brief examines how state Medicaid and public health programs can advance health equity for the communities they serve, especially for people of color, working both within their agency and through cross-agency partnerships.
This commentary tells the story of Adrian, who serves as an assistant director at the Hattiesburg, Miss., office of Youth Villages and oversees the Medicaid-funded Mississippi Youth Programs Around the Clock (MYPAC) effort, which currently has more than 500 people enrolled throughout the state.
This fact sheet explores how people of color experience unfair treatment or judgment when applying for public benefits at higher rates than white adults, and those experiences often have adverse consequences.
This issue brief—the first in a series “Supporting Health Equity and Affordable Health Coverage for Immigrant Populations”—provides an overview of the national immigrant health coverage landscape and offers considerations for policymakers related to state-funded affordable coverage programs for low-income individuals who do not qualify for subsidized health insurance under the Affordable Care Act or other public programs due to immigration status.
This journal article assesses the impact of the Affordable Care Act (ACA) Medicaid expansion on coverage and access to care for a subset of low-income parents who were already eligible for Medicaid when the ACA was passed.
This commentary presents strategies for state-based marketplaces to improve consumer outreach, provide enrollment assistant and clearly communicate with consumers with what health coverage options are available for them in 2022.
This brief presents an updated version of the SHADAC COVID-19 Survey in April 2021, aimed at understanding respondents’ experiences with illness and death due to COVID-19 for themselves, their families, and their contacts.
This blog examines the results from the 2021 release of the National Health Security Preparedness Index which show that the nation’s protections from large-scale health threats remain highly variable across the country.
This paper includes considerations and approaches to promote equity and improve public health capacity to prevent, detect and respond to HIV, viral hepatitis, STDs and TB during the public health emergency and beyond.
This report provides updated excerpts of health disparities and health equity language from Medicaid managed care contracts and requests for proposals from 15 states and the District of Columbia as well as the contract for California’s state-based marketplace, Covered California.
This brief aims to assist state and federal analysts with survey development and/or analysis of existing survey data to generate estimates of health insurance coverage and access to care across racial and ethnic groups and according to nativity and/or immigrant status.
This brief examines how New York is expanding changes to the race and ethnicity questions system-wide for the next open enrollment period and how the state is considering additional revisions in hopes of further enhancing the quality and completeness of its data.
This blog post explores seven key considerations for health care organizations, Medicaid programs, and advocacy organizations to facilitate family engagement in program and policy design and implementation.
The blog highlights updates to a compendium providing Medicaid agencies with examples of how different states are leveraging their managed care programs, inclusive of contracts, quality programs, and procurement processes, to promote health equity and address health disparities.
This webinar, cosponsored by the Center for Health Care Strategies (CHCS) and the Camden Coalition of Healthcare Providers’ National Center for Complex Health & Social Needs, will feature first-hand experiences and reflections from the field on recent innovations in complex care measurement.
This brief examines how several adults have gone without needed health care during the COVID-19 pandemic over concerns about being exposed to the novel coronavirus in hospitals, doctor’s and dentist’s offices, and other health care settings.
This issue brief outlines key barriers states face in their efforts to increase vaccination rates among BIPOC and highlights strategies states are pursuing in partnership with community-based organizations to address these challenges.
This memorandum identifies and describes several strategies states deployed to counter false information campaigns during the 2020 election and examines how they may augment states’ COVID-19 vaccine messaging efforts by building better public resilience to false information and restoring trust in official sources of information.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.
This webinar, hosted by the Center for Health Care Strategies with support from the Robert Wood Johnson Foundation, will explore the need to transform child health care from three unique perspectives — a pediatrician, a family advocate, and a children’s health clinic director.
This commentary examines that in 2018, the United States had its first decline in drug overdose deaths in decades, with overall drug overdoses decreasing 4.1% from 2017. However, provisional data on overdose deaths released by the CDC indicate that drug overdose deaths rebounded in 2019, rising 4.6% over the previous year.
This podcast talks about the COVID-19 pandemic, ensuing recession, and amplification of issues related to health equity that have forced state Medicaid agencies to evaluate their budgets and investments to better serve Medicaid enrollees.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.