From Recovery to Resilience: Investing in Collaborative Infrastructure for Health and Equity

After the 2018 Camp Fire – the most destructive and deadly wildfire in California’s history – the California Accountable Communities for Health Initiative (CACHI) understood that the community needed more than programming to recover. In response, the region’s Accountable Community for Health (ACH) was created – a community-rooted, cross-sector collaborative that invests in local leadership to shift systems, influence policy, and address both long-standing inequities and urgent crises.

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Broken Triangle: A Framework for Reparative Philanthropic Relationships

Traditional philanthropic practices have often created imbalanced power dynamics and barriers for Black-led, Black-serving organizations. When the REACH Healthcare Foundation performed a portfolio review in 2018 that revealed this same exclusion within the foundation’s grantmaking investments, REACH committed to reshaping their funding approach, which aims to repair previously neglected —and in some cases, damaged —relationships.

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Reports

REACH Healthcare Foundation and United Methodist Health Ministry Fund: May 2025

The United Methodist Health Ministry Fund and REACH Healthcare Foundation recently partnered with experts from Manatt Health to shed light on the potential impacts of $880 billion in cuts to the Medicaid program on Kansas.

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Terrance Keenan Institute Alumni Reflect on How COVID-19 Changed Grantmaking

Foundations play a vital role in the nonprofit sector, funding everything from safety net services to social innovation. Like many businesses, philanthropic organizations altered their ways of doing business in response to the COVID-19 pandemic. The health sector, including hospitals and other health care settings along with public health organizations, were deeply affected by the magnitude of illness and the polarization of the pandemic response. To understand exactly how the business of health grantmaking shifted during COVID-19, Jennifer Chubinski and Allen Smart conducted in-depth interviews with health foundation leaders from around the country to learn what changed in their grantmaking strategies and practices.

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The Kids Are Okay: Lessons Learned from a Youth-Led Participatory Grantmaking Program

The Natrona Collective Health Trust (NCHT) was created in October 2020 after the sale of our community’s standalone nonprofit hospital to a regional hospital system. As Wyoming’s first health conversion foundation, NCHT uses trust-based philanthropy and systems change advocacy to advance the mental well-being of our community’s young people. During an extensive strategic planning process, we found that at both our community and state levels, there is insufficient infrastructure to address mental and behavioral health needs, which perpetuates health disparities and high incidences of childhood trauma.

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Reports

The SCAN Foundation: September 2023

The SCAN Foundation published a report analyzing 2014-2020 Health and Retirement Study (HRS) data. The analysis found racial inequities in telehealth, access to care, and health status during the first year of the pandemic. In 2020, non-Hispanic Black and Hispanic adults over 50 experienced worse self-reported health status, used less telehealth, delayed care more, and were less likely to have their care preferences considered compared to their white counterparts.

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Reports

KFF: September 2023

KFF released three reports analyzing Medicare Advantage’s impact on enrollment, benefits and cost-sharing, and bonus payments. One report found that “federal spending on bonus payments to insurance companies that offer Medicare Advantage plans” will be at least $12.8 billion, around 30 percent more than in 2022 and more than four times the spending in 2015.

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Reports

Healthy Communities Foundation: September 2023

Healthy Communities Foundation recently published its General Operating Support in Action: 2021-2022 Insights Report, which showcases learnings in its first year implementing new evaluation and flexible funding approaches. The report also outlines the impact of multiyear general operating support for grantee partners.

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Transitions

Philanthropy @ Work – Transitions – September 2023

The latest on transitions from the field.

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