Financing Prevention: How States are Balancing Delivery System & Public Health Roles

This report highlights leading states’ approaches to support community-based prevention initiatives by bridging health care delivery and public health systems. It examines various mechanisms – both previously existing and those created through health reform – that states can leverage to implement sustainable community-based prevention programs. They include Medicaid waivers, federal grants, accountable care and medical home models, pooled funding, and new federal requirements for nonprofit hospitals. The report includes opportunities and lessons from featured states (California, Maryland, Massachusetts, Minnesota, North Carolina, Oregon, Texas, and Vermont).