Inequities in oral health and health outcomes are driven by upstream factors, including diet, education, transportation, and access to care. A growing number of states are working to improve the oral and physical health of Medicaid enrollees and reduce costs by addressing these social determinants of health in their managed care contracts.
Author Archive for: carrie-hanlon
About Carrie Hanlon
Carrie Hanlon is a project director at NASHP, where she analyzes best practices in health system performance and provides technical assistance to states. She studies state policies designed to improve quality of care, health equity, care coordination, and patient safety, including states’ collection, reporting and use of health care data. Her projects focus on Medicaid, children’s health, racial and ethnic health disparities, and oral health. Prior to joining NASHP in 2007, Carrie was a planning and research associate at the Maine Quality Forum, a division of Maine’s Dirigo Health Agency. There, she helped coordinate statewide quality improvement initiatives. Her previous experience includes work with the Institute for Women’s Policy Research and analyses of policies affecting women’s health. A Phi Beta Kappa graduate of Elmira College, Carrie holds a master’s degree in public policy from the George Washington University.
Entries by Carrie Hanlon
The inequities laid bare by COVID-19 underscore the importance of states’ efforts to develop policies and interventions to address all health disparities. Systemic racism, a driver of these inequities, also fuels disparities in maternal morbidity and mortality – Black women are four-times more likely to die from pregnancy-related causes than White women. States are on […]
The COVID-19 pandemic is shining a light on well-established racial disparities in health care access and quality, and in social and economic factors affecting health status and outcomes. The racial inequities exposed by case identification and death rates data give states opportunities to improve their responses and interventions. As state and local data becomes available, […]
State officials continue to develop new approaches to increase access to oral health services, and many of their innovations were highlighted at National Academy for State Health Policy’s 2019 conference. There are ongoing initiatives, such as deploying community health workers in Minnesota, a New Hampshire Medicaid and Women, Infants, and Children Nutrition Program pay-for-prevention, bundled […]
States face rapidly rising rates of substance use disorder (SUD) and overdoses among pregnant women and increases in maternal deaths and poor birth outcomes, such as neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS). To understand how states promote early identification of SUD and treatment access for pregnant women, the National Academy for […]
While state policymakers across the country grapple with oral health care access challenges, California, Pennsylvania, and Connecticut are incentivizing their Medicaid plans and providers to deliver pediatric oral health services in innovative ways, with a special focus on community-based solutions. Under its Medicaid section 1115 waiver, California incentivizes dental care coordination by community health workers […]
Without early identification and treatment of development delays, children may face long-lasting and costly consequences. With more states reporting their developmental screening Child Core Set measures and new federal initiatives promoting value-based payment for children’s health, Vermont’s innovative affordable care organization’s approach can provide valuable insights. This fact sheet describes Vermont’s strategy to prioritize developmental […]
Substance use disorder (SUD), including opioid use disorder (OUD), is prevalent among pregnant and parenting women, and these women have unique and often un-met treatment needs. Despite significant efforts, states report that access to treatment continues to lag for this population. In 2014, half of pregnant women with OUD who were enrolled in publicly-funded treatment […]