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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.
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.
The Blue Cross Blue Shield of Massachusetts Foundation: July 2023
The Blue Cross Blue Shield of Massachusetts Foundation announced a call for proposals for its Special Initiatives grant program. In addition, the foundation is now recruiting applicants for the 12th cohort of emerging leaders in the health leadership program that begins this fall.
Blue Cross Blue Shield of Massachusetts Foundation: July 2023
This study, commissioned in collaboration with the Health Equity Compact, aims to quantify that economic burden associated with solutions for reducing inequities in health (which require investments of time and resources for which there will always be competing priorities.)
Issue Brief on State Opioid Settlement Spending Decisions
The Foundation for Opioid Response Efforts supported the National Academy for State Health Policy in the development of an issue brief providing an early look at state opioid settlement spending decisions.
Blue Cross Blue Shield of Massachusetts Foundation: May 2023
The Blue Cross Blue Shield of Massachusetts Foundation Massachusetts released a new report, “Closing the Coverage Gaps: Reducing Health Insurance Disparities in Massachusetts.” The foundation noted that Massachusetts has been exemplary in developing health insurance coverage policies to cover its residents.
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.