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Reports

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.

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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.

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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.

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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.

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Reports

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.

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Reports

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.

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Publications and Reports

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?

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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.

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Reducing Hospital Readmissions: What Is at Stake and What Will it Take?

Nearly one in five Medicare inpatients is readmitted to the hospital in the 30 days following discharge, most often for reasons relating to the original hospital stay. Such read missions are very costly, accounting for more than $17 billion annually in Medicare spending. With the view that many rehospitalizations could be averted through improvements in health care delivery, finding the path to reduce read missions and capture the resulting savings has seized the imagination of many policy wonks and spurred attention, along with some action, on the front lines.

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