United States: Centering Health Equity in Medicaid Section 1115 Demonstrations

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The long-standing structural racism and related health inequalities experienced by people of color, further exposed by the COVID-19 pandemic, have mobilized leaders in many states to act on behalf of people of color. health equity. While addressing structural racism in health care requires collaborative and sustained efforts among state agencies, local governments, communities, and other stakeholders, many states view Medicaid as a critical lever to make advancing health equity.

States looking to test new or innovative ideas related to health equity in their Medicaid programs are leveraging Section 1115 demonstrations as a key strategy. In all demonstrations, including those that may not identify specific policies to advance health equity, state decision makers have the opportunity and the imperative to center health equity at every stage of the cycle. life of the demonstration.

In two new briefing notes prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health examines the role of Medicaid Section 1115 demonstrations in promoting health equity. “Centering Health Equity in Medicaid Section 1115 Demonstrations: A Roadmap for States” explores Medicaid’s role in promoting health equity and outlines ways states can advance health equity at every stage of the cycle life demonstrations. The accompanying brief, “Centering Health Equity in Medicaid: Section 1115 Demonstration Strategies,” outlines specific and innovative policies for advancing health equity through Section 1115 demonstrations.

To read “Centering Health Equity in Medicaid Section 1115 Demonstrations: A Roadmap for States,” click here.

To read “Centering Health Equity in Medicaid: Section 1115 Demonstration Strategies,” the accompanying note, click here.

The content of this article is intended to provide a general guide on the subject. Specialist advice should be sought regarding your particular situation.

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