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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.
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.
Kate B. Reynolds Charitable Trust: October 2025
Three new fact sheets inform funders about how recent federal budget cuts will impact health care access, food assistance, and the health of immigrant families. The fact sheets detail what is being cut, when the cuts will take effect, and what to do next.
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.
Publications and Reports
The Residual Uninsured: Taking Stock, Taking Care
By the time the Affordable Care Act is fully implemented in 2019, government analysts estimate that about 89 percent of the nonelderly U.S. population will be covered by health insurance. An estimated 11 percent of the nonelderly population, more than 30 million people nationwide, will remain uninsured.
Health Care for the Neediest: The Critical Transformation
The United States now stands on the cusp of important expansion in access to affordable health insurance coverage that was promised in the enactment of federal health reform legislation in 2010. As actors and stakeholders throughout the health system prepare for a surge in the insured population, leaders are looking ahead to the looming challenges that will move to center stage as the crisis of the uninsured recedes: How can we reduce the heavy burden of health care cost growth on our nation’s families, employers, state budgets, and federal health care programs?
Innovations in Care for Chronically Ill Patients
Caring for patients with one or more long-term health conditions is the bread and butter of our health care system; yet innovations in care for the chronically ill do not always receive the attention they deserve. In this Issue Focus, promising paths to care improvement, challenges, and areas for future exploration are discussed.