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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.
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.
Georgia Health Initiative: July 2025
The Georgia Health Initiative released a new report titled “The Public Health Emergency Medicaid Unwinding: Georgia’s Redeterminations Experience,” which explores promising practices and lessons learned during the unwinding of Georgia’s Medicaid coverage. It also highlights ways these findings can support ongoing efforts to strengthen health coverage access in Georgia.
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.
Lucile Packard Foundation for Children’s Health: May 2025
The Lucile Packard Foundation for Children’s Health released a report titled “No Place to Hide: Children Will be Hurt by Medicaid Cuts” that outlines the federal proposals of Medicaid funding reductions and explains the implications of those proposals on children and families.
Publications and Reports
Rural Health Transformation Program: Opportunities for Philanthropy
This GIH issue brief is a high-level analysis of major themes as identified from initiatives and strategies in state applications, reflecting the primary foci of each state’s Rural Health Transformation (RHT) program. Based on this analysis, we offer several recommendations for grantmaker investment and action in support of RHT initiatives and, ultimately, improving the health and well-being of rural communities.
Understanding Vaccine Access in a Shifting Landscape
This Grantmakers In Health (GIH) Issue Focus provides an overview of the current vaccine policy landscape and describes how health funders can respond to threats to vaccine access.
GIH Bulletin: January/February 2026
One year ago, as we were just one month into the new administration, I wrote that “At a moment when so much has been described as ‘unprecedented,’ and so much of what we value is being attacked, we need to ask ourselves as individuals, organizations, and a field, what do we stand for? What values do we hold, and what will we do and say to defend them?” Today, the answers to these questions are needed more urgently than ever.