SHADAC Expertise

Health Equity

Health Equity

Improvements in health equity depend on a better understanding of health disparities and efforts to reduce avoidable differences in health outcomes as well as other conditions, such as access to safe housing, healthy food, transportation and jobs.  Better data collection and measurement are essential, particularly for monitoring and addressing the inequitable impacts of the pandemic.  SHADAC’s work in this area includes projects focused on equity in the Medicaid program, in-depth resources focused on data and measurement, and highlighting successful strategies in advancing health equity for key public health efforts, such as vaccination.

Relevant SHADAC work:
Click on any title below to learn more about the project.

Medicaid Equity Dashboard
With support from the Robert Wood Johnson Foundation, SHADAC is leading a project to assess whether identifying a set of key equity-related indicators (i.e., a “Medicaid Equity Monitoring Tool”) could be a helpful, feasible, and reliable way of tracking and advancing health equity in Medicaid at the state and federal levels. SHADAC researchers are currently consulting key informants, convening an advisory committee, and conducting an environmental scan to carry out this work. Under the guidance of the advisory committee, which consists of data experts as well as individuals who bring diverse perspectives on the Medicaid program, SHADAC researchers are working to better understand whether and how a Medicaid Equity Monitoring Tool could be most useful and for whom.

Collection and Availability of Data on Race, Ethnicity, and Immigrant Groups in Federal Surveys that Measure Health Insurance Coverage and Access to Care
The aim of this recently produced SHADAC brief is to assist state and federal analysts with survey development and/or analysis of existing survey data to generate estimates of health insurance coverage and access to care across racial and ethnic groups and according to nativity and/or immigrant status. The brief presents the collection and classification of survey data for populations defined by race, ethnicity, and nativity/immigrant (REI) status as well as the availability of these data in public use files.

Borrowing Proven Policy Strategies to Vaccinate Kids Against COVID-19: Lessons from Past Successes can Provide a Roadmap for Ensuring Equity in Immunization Efforts
With the authorization of the first COVID-19 vaccine for children ages five and older, most kids in the United States are now eligible to be immunized. The objective of this brief, produced by SHADAC researchers for State Health & Value Strategies (SHVS), is to highlight the strategies and tools that have contributed to prior successful U.S. efforts to widely vaccinate children against contagious diseases and reduce vaccination disparities, so that they may be applied to initiatives to immunize kids against COVID-19.

Collection of Sexual Orientation and Gender Identity (SOGI) Data: Considerations for Medicaid and Spotlight on Oregon
Thirteen million people identify as part of a sexual or gender minority (SGM) in the United States, and an estimated 1.17 million of those SGM adults (age 18-64) have Medicaid as their primary source of health insurance. A State Health and Value Strategies brief, authored by SHADAC researchers, documents the few examples of SOGI data collection efforts occurring at the federal level and in Medicaid, and highlights the efforts of an Oregon community stakeholder process that identified several key areas for SOGI data improvement.

Expert Perspective: States' Reporting of COVID-19 Health Equity Data
States’ Reporting of COVID-19 Health Equity Data looks in-depth at which states are reporting data on the impacts of COVID-19 on vulnerable populations, including communities of color, populations with lower incomes, and residents of congregate living facilities. Also included are interactive maps that explore the extent to which states are reporting data breakdowns by age, gender, race, ethnicity, and locational levels (ZIP code), group residence type, and for health care workers.