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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.
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- CMS’ health equity strategy will build on the Biden-Harris Administration’s commitment to advancing racial equity and support for underserved communities through the federal government, as described in President Biden’s Executive Orders 13985 and 14091. (author introduction)November 2024Medicaid
- Medicaid has announced a two-year pilot program which covers traditional Native American healing practices in four states. The author explores the program through the lens of one Native American who recovered from addiction in a Native-led treatment house.October 2024Illness/Disease/Injury/Wellbeing, Substance Use and Misuse, Medicaid
- Background: Nourishing Beginnings is an integrated referral and service delivery model supporting Medicaid-eligible pregnant individuals by providing increased nutritional food access throughout pregnancy up to three months postpartum, through community health workers (CHW), who simultaneously address and provide support for social service needs of the client. Methods: To study the impact of…October 2023Maternal/Child Health, Medicaid
- We are in a historic moment as North Carolina becomes the 40th state to implement Medicaid expansion under the Affordable Care Act. It’s been a long road to Medicaid expansion, but with the passing of the budget and today’s announcement of a Dec. 1 launch date, we are now closer to removing barriers and extending health coverage to an estimated 600,000 North Carolinians. Thanks to the bipartisan…September 2023Medicaid
- The Health Equity & Access under the Law (HEAL) for Immigrant Families Act of 2023 removes political interference and restores coverage so immigrants in the United States (U.S.) can participate in the health insurance programs for which they would be eligible but for their immigration status or length of stay. This bill will allow immigrants and their families to receive the health coverage…July 2023Medicaid, Medicare
- From 2018–2020, 19 states enacted Medicaid work requirements as a strategy for reducing program enrollment and overall cost. While these requirements were later rescinded, strategies to reduce Medicaid costs are likely to reemerge as states attempt to recover economically from the COVID-19 pandemic. Here, we evaluated the impact of Medicaid work requirements on adults aged > 50, a group that…July 2023Medicaid
- Interventions to address social drivers of health (SDH), such as food insecurity, transportation, and housing, can reduce future health care costs but require up-front investment. Although Medicaid managed care organizations have incentives to reduce costs, volatile enrollment patterns and coverage changes may prevent them from realizing the full benefits of their SDH investments. This phenomenon…March 2023Medicaid, Social Environment
- Background Although preventable through screening, cervical cancer incidence and mortality are higher among American Indian and Alaska Native women (AIAN) than White women. The Patient Protection and Affordable Care Act's (ACA) Medicaid expansions may uniquely impact access and use of cervical cancer screening among AIAN women and ultimately alleviate this disparity. Methods Using Medicaid…January 2023Cancer, Medicaid
- The World Health Organization (WHO) estimates global spending on healthcare at $6.5 trillion, approximately 10.5% of the world’s gross domestic product. The United States’ (US) share of that spending is $2.6 trillion, essentially quadrupling since 1980. The 2010 United States Patient Medicaid is the nation’s primary health insurance program for people with disabilities, but it is so much more…January 2023Medicaid
- The Affordable Care Act (ACA) Medicaid expansions increased preconception and postpartum insurance coverage among low-income birthing people, leading to greater use of outpatient care. In this study we evaluated whether the expansions affected rates of postpartum hospitalization. Our analyses took advantage of underused longitudinal hospital data from the period 2010–17 to examine…January 2023Adverse Birth Outcomes, Medicaid
- In this session during the Partners for Advancing Health Equity 2022 Summit, panelists discussed the role of Medicaid through a lens of health equity. Ms. McIver presented on recent achievements under the Biden Administration at the Office of Minority Health at the Centers for Medicare & Medicaid Service in relation to health equity. Ms. Avegno, coming from a local health…December 2022Medicaid
- The Accountable Health Communities Model addressed a critical gap between clinical care and community services in the current health care delivery system by testing whether systematically identifying and addressing the health-related social needs of Medicare and Medicaid beneficiaries through screening, referral, and community navigation services will impact health care costs and reduce health…April 2022Medicaid, Services & Programs, Social Environment
- For decades, Medicaid has provided virtually no-cost coverage to millions of Americans priced out of the private insurance market. Still, state legislators, policy analysts, and the popular press continue to question Medicaid’s value, particularly in relation to private coverage. Twelve states have not expanded Medicaid coverage under the Affordable Care Act (ACA) framework despite the offer of…March 2022Medicaid
- Introduction: Although growing evidence links residential evictions to health, little work has examined connections between eviction and healthcare utilization or access. In this study, eviction records are linked to Medicaid claims to estimate short-term associations between eviction and healthcare utilization, as well as Medicaid disenrollment. Methods: New York City eviction records from…February 2022Medicaid
- Importance: Increasing prices of antidiabetic medications in the US have raised substantial concerns about the effects of drug affordability on diabetes care. There has been little rigorous evidence comparing the experiences of patients with diabetes across different types of insurance coverage. Objective: To compare the utilization patterns and costs of prescription drugs to treat…January 2022Diabetes, Medicaid
- This report describes the implementation and impacts of the Independence at Home (IAH) demonstration with a focus on demonstration Year 6. The report examines the effects of the demonstration payment incentive on: (1) Medicare expenditures, hospital use, and health outcomes; and (2) how IAH practices changed the way they delivered care during the demonstration and whether those changes affected…November 2021Medicaid
- Planned Parenthood Federation of America published 12 new state-focused fact sheets highlighting why expanding Medicaid coverage is critical to expanding access to sexual and reproductive health care. There are fact sheets for each state that has not yet expanded Medicaid. They detail how many people in each state would gain health insurance coverage if Congress passes the package. (author…September 2021Reproductive/Sexual Health, Medicaid
- Importance: It is unclear how the COVID-19 pandemic and its associated economic downturn have affected insurance coverage and disparities in access to health care among low-income families and people of color in states that have and have not expanded Medicaid. Objective: To determine changes in insurance coverage and disparities in access to health care among low-income families and people…August 2021COVID-19/Coronavirus, Medicaid
- As Congress considers proposals to be included in the upcoming budget reconciliation package, a number of health care measures are on the table. Among these potential reforms are pathways to close the gap in Medicaid coverage that exists in the twelve states that declined to expand Medicaid after the passage of the Affordable Care Act (ACA). A Supreme Court ruling in 2012 made Medicaid expansion…August 2021Maternal/Child Health, Reproductive/Sexual Health, Medicaid
- Background: Medications for opioid use disorder (MOUD) improve outcomes for pregnant women and infants. Our primary aim was to examine disparities in maternal MOUD receipt by family sociodemographic characteristics. Methods: This retrospective cohort study included mother-infant dyads with Medicaid-covered deliveries in Tennessee from 2009 to 2016. First, we examined family sociodemographic…July 2021Maternal/Child Health, Substance Use and Misuse, Medicaid
- Maternal health outcomes in the United States have reached crisis levels compared with the rest of the world, and they’re getting worse. Preterm birth rates have increased in the U.S. for the past 5 years, and the number of birthing people who experience Severe Maternal Morbidity (SMM) has also continued to grow. These poor outcomes, however, impact some more than others. Black birthing people…June 2021Maternal/Child Health, Medicaid
- Importance The Affordable Care Act created 2 new coverage options for uninsured adults: Medicaid expansion, which in most states provides comprehensive coverage without premiums and deductibles; and private marketplace coverage, which requires a premium contribution and cost-sharing, though with generous federal subsidies at lower incomes. How enrollment rates compare in the marketplace vs…June 2021Medicaid
- The Whole Person Care (WPC) Pilot program implemented under California’s Section 1115 Medicaid Waiver, “Medi-Cal 2020,” coordinates medical, behavioral, and social services to improve the health and wellbeing of Medi-Cal beneficiaries with complex needs. In this policy brief, we analyze data from the interim statewide evaluation of WPC to present a snapshot of the 25 participating pilots, based…May 2021Medicaid
- Medicaid has a long history of serving pregnant women, but many women are not eligible for Medicaid before pregnancy or after sixty days postpartum. We used data for new mothers with Medicaid-covered prenatal care in 2015–18 from forty-three states participating in the Pregnancy Risk Assessment Monitoring System (PRAMS) to describe patterns of perinatal uninsurance and health outcomes of women…April 2021Illness/Disease/Injury/Wellbeing, Maternal/Child Health, Depression, Medicaid
- Cross-sector collaboration and systems alignment can address social determinants of health, improve family well-being, and create a more equitable society. In attempts to align Temporary Assistance for Needy Families (TANF) and Medicaid to promote health through its trauma-informed program, The Building Wealth and Health Network (The Network) encountered three major challenges to meeting those…March 2021Medicaid, Social Environment, Systemic Determinants
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