Roles for Philanthropy as Medicaid Changes Take Effect
For those of us who have worked toward health equity, who have spent the past few years building toward incremental gains and pushing for larger change, the events of this year can feel like one big backslide. At times, it’s overwhelming. Yet this is not the time to get bogged down by the size of the challenge or by analysis paralysis. From where I sit, I see five roles that philanthropy can play in the rollout of changes to Medicaid.
Acting with Urgency: Stupski Foundation Accelerates Its Spend-Down Grantmaking
In this interview, Grantmakers In Health’s Maya Schane spoke with Dan Tuttle and Sulma Gandhi of the Stupski Foundation about the foundation’s spend-down strategy and acceleration of grantmaking in 2025 in response to federal policy changes.
Protecting Children’s Access to Health Care in Schools: The Impact of Medicaid Cuts on School Health Services
“Due to the remote area we serve, our students have little to no access to medical services otherthan those provided in schools.”—Superintendent from a rural school district in Michigan. Schools are essential places for children to access health services. An estimated 40 percent ofschool-aged children have at least one chronic health condition (National Survey of Children’sHealth, 2019). Among low-income children with special health careneeds, approximately 87percent do not receive necessary care, primarily due to financial costs and limited access (Childand Adolescent Health Measurement Initiative, 2022). Providing health care at school, where children spend most of their days, is crucial to addressing these concerns.
Advancing Health Beyond Health Care: How Policy Wins in Texas Reflect Philanthropic Strategy
At Episcopal Health Foundation (EHF), our vision is to build healthy communities for all by focusing on health beyond the walls of the doctor’s office. In 2024, we launched a new strategic framework that centers on three major action areas: health and health care services, healthy communities, and health policies. Across these areas, we also are prioritizing food and nutrition security, maternal health, and diabetes prevention, as these are critical levers for improving health outcomes in Texas.
Responding to a Rural Hospital Closure: The Importance of a Phased, Multi-Pronged Approach
It has been over a year since the August 31, 2024, closure of a beloved community hospital in Ayer, Massachusetts following the bankruptcy of the private equity-backed Steward Health Care system. The impacts of the Nashoba Valley Medical Center closure continue to reverberate across this rural working-class region, adding to a growing sense of abandonment and frustration that has accumulated over waves of health care service cuts.
The Role of Health Philanthropy in Improving Maternal Health for Underserved Populations
Although the United States is a high-income nation, it experiences a significant burden of maternal mortality incidence relative to other countries. In 2023, non-expansion Medicaid states had 27.7 percent higher pregnancy-related deaths than expansion states. The COVID-19 pandemic also exacerbated racial disparities in pregnancy-related deaths. Historically, marginalized populations, including low-income populations and Black and Indigenous communities are more vulnerable to preventable pregnancy-related deaths.
Designing Inclusive and Equity-Centered Health System Improvement Projects—Lessons from Three Initiatives
Disparities in access to health care persist for individuals with low incomes and Black, Hispanic/Latinx and Native American/Native Alaskan individuals and are particularly acute in behavioral health. Behavioral health care utilization rates among Black, Hispanic, and Asian adults are less than half those of White adults. These disparities exist because of barriers in access such as limited provider networks, poor language access, a lack of culturally-aligned services, and technological barriers to telehealth. Working with health providers to create inclusive and accessible services is essential to building more equitable access to behavioral health care, and to healthier and happier families and communities.
To Improve Youth Mental Health, Funders Must Center Youth Voices
As youth mental health challenges continue to grow nationwide, a new initiative in Greater Cincinnati believes transformational change begins when youth are empowered to lead.
Measuring and Communicating Impact: How Philanthropy Can Show and Tell Its Impact to Rally the Public in Defense of Research
If research evidence falls in the vast forest of journals and grant reports, but no one outside hears it, can it inform policy? In today’s political climate, grantmakers must do more than generate knowledge. They must ensure that its real-world impact is visible, measurable, and defensible.