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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2023 Call for GIH Board Nominations

Grantmakers In Health, an educational organization serving staff, executives, and trustees of foundations and corporate giving programs working in the health field, is seeking nominations for its board of directors for terms beginning in March 2024.

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Want to See Lasting Systemic Change and Transformation to Build Health Equity? Invest in Power Building

Despite a commitment to transformation, equity, and rebalancing the scales of justice, philanthropy often operates in ways that undermine its very purpose. Historically, the philanthropic field has taken a siloed and narrow approach to change, offering investments in short-term funding cycles and attempting to create change from the top down.

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Health Philanthropy Impacting the Health and Well-Being of Family Caregivers

More than 53 million Americans—21 percent of the US population—are caregivers for loved ones who are older adults or adults living with chronic, disabling, or serious health conditions. Increasingly, the US health and long-term care systems rely on family caregivers. In 2017, family caregivers in the US provided a staggering 80 percent of long-term care, valued at $470 billion, and in 2021, 38 million family caregivers spent 36 billion hours caring for older adults, amounting to an estimated $600 billion in unpaid caregiving.

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As More Americans Gain Health Care Coverage, Advocates Fight for Higher-Quality Insurance

People’s Action and our allies fought hard to win health care for millions through the Affordable Care Act and Medicaid expansion. 91 percent of Americans now have health insurance, even though there is still work to do to ensure everyone can get coverage, particularly immigrants and those living in holdout non-expansion states.

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Philanthropy’s Role in Equitable Medi-Cal Expansion

California has more people enrolled in Medicaid than any other state—almost 15 million of 93 million enrollees nationwide, and the state’s efforts to equitably address the enrollment churn make it worth watching. When the pause on Medicaid redeterminations ended in April, up to 3 million Medi-Cal enrollees, California’s program, were at risk of losing coverage. Most at risk are those often eligible but inconsistently enrolled in Medi-Cal—if at all. Many of these individuals are from poorly served communities who often experience longstanding discrimination in accessing health care. They commonly live in extremely rural areas and lack access to the internet and transportation; have unstable housing; are reluctant to enroll due to their immigration status; and have limited English proficiency, live with a physical disability, or have behavioral health needs. If Medi-Cal is to be a true driver for health equity, we need to close the enrollment gap in these communities.

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Transitions

Philanthropy @ Work – Transitions – July 2023

The latest on transitions from the field.

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