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Nonprofit Competition in the Health Insurance Exchange: Consumer Operated and Oriented Plans
When the Affordable Care Act was passed, Section 1332 established the Consumer Operated and Oriented Plan (CO-OP) program, which offers a consumer-friendly, high-quality nonprofit competitor to provide affordable insurance products to the small employers and individuals that will be served by the health insurance exchanges.
Coming Soon? The Ongoing Effort to Promote Better Depression Services in Primary Care
Depression is one of the most common disabling and debilitating health conditions in the United States and internationally. To ensure better depression care for older patients, The John A. Hartford Foundation has advocated for the Improving Mood–Promoting Access to Collaborative Treatment (IMPACT) model as the standard approach to the delivery of mental health services in primary care.
Integrating Health Services for People with Co-Occurring Mental Health and Substance Use Disorders
Care for people with co-occurring conditions remains terribly fragmented. Three separate systems exist—health, mental health, and substance use services— to care for each individual problem, each one with its own set of norms, culture, regulations, reimbursement process, and accountability.
Dental Hub and Spoke Project Links Kansans in Underserved Areas to Dental Care
Kansas, like many states with a vast rural geography, has substantial areas with little or no access to oral health services. Studies of the Kansas dental workforce show 93 of 105 counties do not have enough dentists to serve their population.
Making the Connection with HIT
Health information technology (HIT) is now widely regarded as a promising tool for improving the quality, safety, and efficiency of the health care delivery system – largely due to a major influx of federal funding and the Affordable Care Act. Despite its newfound prominence, the benefits of HIT were only championed by a small cadre of health care professionals a mere six year ago.
Integrative Medicine: Rethinking Health Care Delivery
Fifteen years ago I was a consulting psychologist with a newly minted doctorate, happy, and engaged in checkbook philanthropy on the side. But in the deep of winter, a diagnosis of breast cancer upended my world.
Publications and Reports
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.
GIH Bulletin: November/December 2025
GIH President and CEO, Cara V. James, delivered these remarks on Protecting the Freedom to Give at the closing of the 2025 Health Policy Exchange, in Arlington, Virginia.
2024 Survey Summary: Health Workforce Strategies
Concerns about the supply, diversity, cultural responsiveness, geographic distribution, and safety of the health workforce have reached a critical level across the country. Philanthropy has a role to play in maximizing the health workforce to achieve patient safety, provider well-being, equitable access, care quality, and improved health outcomes. Therefore, GIH recently conducted a survey to learn about funders’ strategies related to their health workforce investments.