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