Wonks at Work

Data can be a powerful component in strategies to improve public health and healthcare outcomes. Research, quality improvement activities, and program development and evaluation all require reliable data infrastructure. That’s why, more than a decade ago, our state established the Arkansas Healthcare Transparency Initiative, which includes an all-payer claims database, or APCD. To learn more about...

One of the best strategies for improving health outcomes involves prevention and addressing health issues before they escalate into a costly hospital stay, chronic condition, or something worse. Achieving that level of care at scale, however, isn’t exactly easy. It requires healthy systems that encourage things like regular preventive screenings, coverage options and policies that consistently sup...

Limited access to nutritious food can undermine patient treatment and recovery. That’s especially true for the often long and arduous recovery many cancer patients face. Vulnerable populations who struggle with social and economic challenges such as food insecurity are at increased risk. Now a program called “Hope for Cancer: Healthy Outcomes Through Produce Prescriptions and Education” is explori...

The research that helps drive health improvement and strong policy advancements in Arkansas doesn’t take place in a vacuum. It needs people committed to that work, the resources to fuel it, and the infrastructure to pull it all together and keep it moving forward. Just over 20 years ago, the Arkansas Biosciences Institute (ABI) was established as an agricultural and medical research consortium ded...

Helping a community heal is hard work. That’s especially true when lives and families are disrupted by incarceration, dependency, the need for child welfare interventions, or other crises. Fortunately, there are people and organizations committed to making that healing possible. One of those groups is Restore Hope, an Arkansas-based organization that has developed a model to help families move fro...

The Climb: Kira Kennedy by ACHI

Youth substance abuse and addiction remain serious concerns for parents and communities here in Arkansas and around the country. There is, however, some evidence suggesting that substance use behaviors among youth have been on the decline for the past decade. While that's good news, data show that a considerable number of young people are still impacted, and those who struggle with addiction face...

Twenty-five years ago, with billions of dollars set to begin flowing to states as part of a long-term settlement agreement with U.S. tobacco companies, Arkansas bucked a trend. While many states were poised to commit those funds to a wide range of purposes, sometimes unrelated to health care entirely, communities and public health leaders across Arkansas, including those here at ACHI, rallied toge...

The growing need for mental health resources and support, both here in Arkansas and across the country, is complicated by the limited numbers of mental health professionals and other barriers to care, particularly in rural communities. When mental health resources are in short supply, friends, family members, and colleagues are often called upon to provide support. One program designed to equip th...

Obesity is a serious and costly chronic disease that has been widely recognized as a public health epidemic. Although there are accessible, affordable, and straightforward tools to address it in individuals and broader communities, obesity remains a widespread public health threat that increases one’s risk for developing other conditions such as heart disease, type 2 diabetes, and some forms of ca...

A visit to the dentist is about more than clean teeth; it’s about whole health and wellness. Arkansas ranks poorly in oral health and has one of the lowest utilization rates for dental services in the country, but there are ongoing efforts to better understand and overcome barriers to care. In one of its latest initiatives, the Delta Dental of Arkansas Foundation partnered with the Winthrop Rockef...

Changes are on the way for community health workers in Arkansas. Earlier this year, the Arkansas General Assembly approved the Community Health Worker Act, which will establish standardized training and a statewide certification process for community health workers and will allow those certified to receive compensation for their services from Arkansas Medicaid and private insurers. Unlike healthca...

Many roadway safety initiatives depend on the notion that safe driving is a learned behavior, but it is clear that many of us still have a lot to learn. In Arkansas, about 65 pedestrians die in roadway accidents annually, and our state has the fourth-highest roadway fatality rate in the country, nearly double the national rate. A new effort to educate the next generation of drivers about roadway s...

Food insecurity — limited or uncertain access to food — is a significant challenge for our state, impacting nearly 1 in 5 Arkansans. That includes 1 in 4 children. However, not all Arkansas households that are impacted receive federal or state support. Some may rely on community programs and local food banks or, at worst, try to get by without any support at all. One approach to supporting food-in...

Cycling enthusiasm in Northwest Arkansas is not limited to mountain bike trails and long gravel rides through the Ozarks. Regional leaders envision 1,800 miles of shared-use and bicycle paths connecting communities across the region, allowing residents to make active transportation (e.g., walking, biking) part of their daily lives. Building that kind of infrastructure requires more than bike lanes...

Arkansas is aging. By 2030, about 1 in 5 Arkansans will be 65 or older. Twenty years ago, that age group made up 14% of the state’s population. An aging populace requires an infrastructure that can accommodate increased demands on our healthcare system and a robust workforce that can provide the necessary long-term care and support. For an in-depth discussion on this topic, Rachel Bunch joins us o...

Hepatitis is inflammation of the liver and can be caused by a range of factors, such as viral infections, toxins, or some medical conditions. In 2018, Arkansas experienced a hepatitis A outbreak in which public health officials saw cases jump from just a handful to dozens each month. That outbreak subsided by the end of 2021, but hepatitis A isn’t the only form of hepatitis affecting Arkansans. To...

Health care, public health, and the support systems we have in place to make Arkansans healthier were key areas of focus for state lawmakers during the 2025 regular session of the 95th Arkansas General Assembly. With the session now at an end, it’s time to look back from a healthcare perspective to understand what happened and what has become, or will soon become, the new law of the land. In this...

Although essential to overall health and well-being, not every Arkansan has access to fresh, healthy food. A working group appointed by former Gov. Asa Hutchinson found food deserts in 62 of Arkansas’s 75 counties in 2022. Filling some of those gaps, farmers markets and other community-focused solutions have evolved to serve areas that don’t have a supermarket, and, in some cases, simply can’t sup...

In Arkansas and around the country, private equity groups have a growing financial interest in health care. While private equity investment can revive struggling hospitals or reinvigorate stagnant ones, critics accuse some of loading hospitals with debt, stripping their assets, and leaving communities to deal with the aftermath. That’s what happened in Hope, Arkansas, last year when the owner of W...

As disturbing as the reported opioid overdose death toll has been over the past decade, a 2018 study suggested that many states were likely underreporting those deaths. The reason was that coroners and medical examiners were not specifying the drug contributing to the cause of death on death certificates. To better understand drug overdose deaths in Arkansas, state lawmakers passed a law in 2023 a...

A little over half of Arkansans have dental coverage, and even among those with coverage, only 30% of adults and 50% of children used any services, according to an ACHI analysis. Forgoing oral health care can lead to infections, chronic pain, tooth loss, and exacerbation of other health issues such as diabetes and heart disease. Patients who do not have access to or cannot afford regular dental ca...

Even if you may not look forward to going to the dentist, you could be taking your experience for granted. For individuals whose brains function differently, such as people with diagnoses like autism, going to the dentist can be an anxiety-inducing event. In this episode of the Wonks at Work podcast we speak with Lyon College School of Dental Medicine’s new associate dean for clinical affairs, Dr....

Non-medical vaccine exemptions for Arkansas kindergarten students continue to rise, according to recent data from the Centers for Disease Control and Prevention. Vaccine hesitancy, or a lack of confidence in vaccines, is a key factor contributing to this trend, but it is not a new phenomenon. On this episode of the Wonks at Work podcast, we’re joined by Dr. Sam Taggart, author of The Public’s Heal...

Rapid economic and population growth like what’s taking place in Northwest Arkansas can be exciting, but it can also stress existing housing, education, transportation, and healthcare infrastructure. The Health Care Transformation Division of the Northwest Arkansas Council, an organization established to help shape the region’s development, and Heartland Whole Health Institute have released a new...