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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

Better Outcomes, Lower Costs: How Community-Based Funders Can Transform U.S. Health Care

In a newly available document from FSG, published in association with GIH, Mark Kramer and Dr. Atul Gawande discuss the untapped potential for community-based funders to transform the cost and quality of health care in the United States.

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Transforming Health Care Delivery: Why It Matters and What It Will Take

Transforming health care delivery so as to better meet the needs of patients will require changes to strengthen delivery of care for patients who already have good access to services, as well as changes to improve care for patients who find it harder to get the care they need. This primer provides an overview of why system transformation matters, what it will take, and what philanthropy can do.

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Covering Children Under the Affordable Care Act: Minding the Gaps

While millions of children and their families stand to gain access to affordable coverage through the Affordable Care Act, a significant subset of children is vulnerable to being excluded. Nearly 20 million children live in nontraditional family arrangements that potentially create barriers to accessing health coverage.

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