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Massachusetts Coalition for Health Equity

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Massachusetts Coalition for Health Equity
NameMassachusetts Coalition for Health Equity
Formation2018
TypeNonprofit coalition
HeadquartersBoston, Massachusetts
Area servedCommonwealth of Massachusetts
FocusHealth equity, social determinants of health, policy advocacy

Massachusetts Coalition for Health Equity is a statewide coalition formed to address disparities in health outcomes across the Commonwealth of Massachusetts through advocacy, community organizing, research, and policy engagement. The coalition brings together public health practitioners, community-based organizations, academic institutions, labor unions, and faith leaders to coordinate strategies aimed at reducing inequities in access to care, chronic disease burden, maternal and child health, and preventive services. It operates within a landscape populated by advocacy networks, regulatory agencies, academic centers, and funders that influence health policy and community investment.

History

The coalition emerged in the late 2010s amid increased attention to racial and ethnic disparities highlighted by epidemiological reports from institutions such as Centers for Disease Control and Prevention, Massachusetts Department of Public Health, and research centers at Harvard T.H. Chan School of Public Health, Boston University School of Public Health, and Tufts University School of Medicine. Founding partners included community organizations from neighborhoods represented by Roxbury, Mattapan, Dorchester, and Springfield, Massachusetts, civic groups connected to ACLU of Massachusetts, labor representatives from Service Employees International Union, and faith leaders from congregations affiliated with the Urban League of Eastern Massachusetts. Early campaigns drew on legal analysis from clinics associated with Harvard Law School and policy expertise from institutes like The Commonwealth Institute for Fiscal Analysis.

Mission and Goals

The coalition's stated mission centers on advancing health equity by addressing social determinants recognized in scholarship from Robert Wood Johnson Foundation, Kaiser Family Foundation, Institute of Medicine, and community-driven research at Northeastern University. Goals include advocating for legislation introduced in the Massachusetts General Court to expand coverage models influenced by proposals from Massachusetts Health Connector, strengthening maternal health protections promoted by advocates linked to Black Mamas Matter Alliance, and promoting public health interventions aligned with guidance from World Health Organization technical briefs. Policy priorities often intersect with campaigns run by organizations such as Legal Services Corporation, Health Care for All (Massachusetts), and funders like The Boston Foundation.

Organization and Governance

Governance involves a steering committee composed of representatives from member organizations including community health centers affiliated with Federally Qualified Health Center networks, academic partners from Simmons University, and advocacy groups such as Massachusetts League of Community Health Centers. The coalition uses consensus-based decision-making comparable to models used by coalitions like Campaign for Equal Health Access and governance structures seen in networks such as Coalition for Social Justice and Evidence for Action. Fiscal sponsorship has been arranged through intermediary nonprofit entities similar to arrangements with Tides Center and bookkeeping collaborations with regional philanthropic intermediaries. Leadership roles have included co-chairs drawn from organizations like Massachusetts Nurses Association and directorships modeled on positions at Centers for Medicare & Medicaid Services regional offices.

Programs and Initiatives

Programs include community health worker training initiatives modeled after curricula at Boston Medical Center, data equity projects that partner with researchers from Massachusetts Institute of Technology and Brandeis University, and maternal health campaigns informed by research from Johns Hopkins University and Columbia University Mailman School of Public Health. Initiatives also include advocacy for Medicaid reforms interacting with policy teams at MassHealth and outreach efforts coordinated with Boston Public Health Commission, Brockton Public Health Department, and Springfield Department of Health and Human Services. The coalition has run pilot projects addressing food insecurity in collaboration with Greater Boston Food Bank, housing stability work linked to MassHousing, and workforce development programs partnering with Building Trades Unions and Associated Industries of Massachusetts.

Partnerships and Collaborations

The coalition maintains formal partnerships with academic institutions such as Harvard Medical School, UMass Medical School, and Wellesley College for research translation, and collaborates with national networks including National Association of County and City Health Officials and Health Care Without Harm. It coordinates legislative advocacy alongside groups like MassEquality, MA League of Community Health Centers, and Campaign for Our Communities, and receives technical assistance from foundations including Robert Wood Johnson Foundation, Kresge Foundation, and Annie E. Casey Foundation. Cross-sector collaborations have involved municipal governments like City of Boston, City of Worcester, and City of Springfield, as well as healthcare systems such as Mass General Brigham and Beth Israel Lahey Health.

Impact and Evaluations

Evaluation efforts draw on methodologies used by evaluators at Pew Charitable Trusts, RAND Corporation, and academic centers like Harvard Kennedy School. Outcome measures reported in coalition briefs and partner reports have tracked indicators referenced in state data from Massachusetts Department of Public Health and federal data from Centers for Medicare & Medicaid Services and CDC WONDER. Reported impacts include contributions to legislative wins in the Massachusetts General Court on issues linked to expanded maternal supports, enhanced community health worker reimbursement approaches similar to pilots in Massachusetts Health Connector programs, and strengthened data-sharing agreements modeled after practices at Massachusetts eHealth Collaborative. Independent assessments by research partners at Brandeis University and Tufts University have been used to refine programming and inform strategic planning in coordination with funders such as The Boston Foundation and Robert Wood Johnson Foundation.

Category:Health advocacy organizations in Massachusetts