Health Systems Integration


Health Systems Integration (HSI) bridges public health and health care systems to ensure that all systems and payers are effective partners in ending the HIV and hepatitis C epidemics. The program works to build capacity of health department staff to meaningfully engage in implementing health reform, health system transformation and payment delivery reform activities, and to ensure that HIV, hepatitis, and drug user health services and programs remain relevant and sustainable in a changing health care landscape. NASTAD members are responsible for coordinating state and local HIV, hepatitis, drug user health, and other public health programmatic activities. As such, they are uniquely positioned to meaningfully engage state and local policymakers around new and emerging health coverage options and other health systems reforms to improve access to a range of public health prevention and care services. 

The HSI program has evolved out of NASTAD’s health reform work, including a range of sustainability and payment and delivery reform activities and focus areas. An overarching goal of this work is to identify strategies to ensure that broader health care systems and payers are working in tandem with state and local health departments to address social determinants of health and health care disparities and achieve optimal health outcomes for everyone, especially the most vulnerable among us. Our areas of focus include: 

Our areas of focus include:

  • Insurance Coverage and Access
  • Provider Sustainability
  • Claims Data
  • PrEP Financing


Systems Coordination 

The HSI program serves as the Systems Coordination Provider (SCP) on three initiatives funded by the Health Resources and Services Administration (HRSA): 

NASTAD serves as the SCP on the Building Capacity to Improve Collecting and Reporting Viral Suppression Data to the Medicaid Adult Core Set initiative (HRSA-21-083). This project seeks to build data-sharing capacity in state HIV and Medicaid programs to increase the number of states that adopt the HIV viral suppression quality measure (HVL) and report it to CMS. The team is working closely with ten states to develop resources and blueprints that will support states to adopt the HVL measure over the project's life. A project fact sheet is available here.   

NASTAD serves as the SCP for the Ending the HIV Epidemic (EHE) initiative (HRSA-20-089). NASTAD collaborates with CAI Inc., the Technical Assistance Provider for the initiative, to deliver technical assistance (TA) to RWHAP funded EHE Phase I jurisdictions. The project aims to coordinate EHE efforts across federal EHE funding streams within jurisdictions, assist in forging partnerships with key stakeholders across systems and communities, and disseminate promising models across EHE jurisdictions to advance innovation. A project fact sheet is available here.  

NASTAD supports JSI Research and Training Institute Inc. in the implementation of the Strengthening Systems of Care for People with HIV and Opioid Use Disorder (OUD) initiative, which provides coordinated technical assistance (in nine states) across HIV and behavioral health/substance use to ensure that people with HIV and OUD have access to care, treatment, and recovery services that are client-centered and culturally responsive. Visit the project's website for more information.