- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
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- Quality, Cost, and Health System Performance
- ACOs
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- Delivery System Reform
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- Managed Care
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- Payment Reform
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- Specific Populations
- Adolescents
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Using Report Cards to Measure Racial and Ethnic Health Disparities: State Experience
State agencies identify, document, and act on data related to racial and ethnic health and health care disparities in various ways. One type of document states produce is a “report card,” or a publication that uses data from race/ethnicity-specific measures to assign letter grades that rate the state's performance. This issue brief, prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ), focuses on New Mexico’s experience using report cards to measure racial and ethnic health disparities.
Click to download the report (PDF).
September 2011 -
Using Geographic Information to Target Health Disparities: State Experience
This brief describes how two states, Rhode Island and Virginia, have used particular data collection techniques along with Geographic Information Systems (GIS) to analyze and map race and ethnicity data. Virginia uses GIS with multi-level spatial analysis, while Rhode Island uses GIS in conjunction with Community Based Participatory Research (CBPR). This brief, prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ), also discusses how both states utilize these techniques to target interventions aimed at reducing disparities. View the full report here.
September 2011» -
Reducing Racial and Ethnic Disparities Through Health Care Reform: State Experience
The Patient Protection and Affordable Care Act of 2010 (ACA) provides an opportunity for states to reduce racial and ethnic disparities in health and health care. As states roll out health care reform implementation, they can use disparities data to inform their actions. This issue brief was prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ). It provides examples of how states can integrate health equity into health care reform and insurance exchange implementation.
August 2011» -
Assessing the Costs of Racial and Ethnic Health Disparities: State Experience
Health disparities cost the United States billions of dollars in direct medical expenditures in addition to the human costs. In an effort to improve quality and contain costs states are taking steps to measure these costs and address disparities. This issue brief, which features Virginia and Rhode Island, was prepared by NASHP authors Carrie Hanlon and Larry Hinkle for the Agency for Healthcare Research and Quality (AHRQ). It focuses on tools, challenges, and strategies states use to measure the costs of health disparities.
June 2011» -
State Documentation of Racial and Ethnic Health Disparities to Inform Strategic Action
This report, prepared by NASHP for the federal Agency for Healthcare Research and Quality, summarizes how leading states analyze state and federal race/ethnicity data in strategic plans and reports aimed at reducing racial and ethnic disparities in health status and health care. It features Colorado, Connecticut, Georgia, Maryland, New Jersey, New Mexico, Rhode Island, and Utah, but also notes activity in Arizona, California, Massachusetts, Michigan, North Carolina, Ohio, and Virginia. Lessons from leading states can provide guidance for others exploring ways to launch or enhance health equity, consumer engagement, quality improvement, or cost containment initiatives.
Read full report here:
January 2011 -
Community Health Centers and Health Reform: Highlights from a National Academy for State Health Policy Forum
The purpose of this paper is to help state policy makers understand how federally qualified health centers (FQHCs) can fit into states’ health care reform plans and help achieve state reform goals related to access, quality, and cost. This topic was the subject of a day-long meeting hosted by the National Academy for State Health Policy (NASHP) on May 5, 2008, in Washington, D.C.October 2008 -
Beyond the Basics: Enrollment and Retention of Hispanic Children in SCHIP
This paper examines effective outreach strategies aimed at the Hispanic community, cultural barriers to enrollment and retention/covering undocumented children, and cultural competence in an increasingly culturally and linguistically diverse population. The material is based on a March 2002 meeting of SCHIP directors and representatives from community, health, and Hispanic advocacy organizations in 11 states. While the symposium and this paper focus on the narrow issue of increasing Hispanic enrollment in SCHIP, many of the themes identified here apply equally to Medicaid and may also be relevant to other minority populations and other state programs.July 2002 -
Advancing Health Equity through State Implementation of Health Reform
Aetna FoundationThursday, July 21, 20112:00 pm - 3:30 pmEDTThe Affordable Care Act (ACA) provides opportunities for states to make lasting and comprehensive systems change in their approaches to achieving health equity for their most vulnerable populations. Through provisions in areas such as coverage and access, prevention, care coordination, population health, and quality and efficiency, the Act offers state policymakers a broad range of policy levers for improving health care and the health status of their racial and ethnic minority populations.
Webinar Contact:arichardson@nashp.orgWebinar Upload:
