Michigan, similarly, has been working to reduce disparities through its Health Disparities Reduction Program. Four primary strategies include the following:

1. Funding has been made available to community-based organizations to target health conditions in specific groups. Tomorrow’s Child targets infant mortality among African-Americans in Detroit, and the Arab-American and Chaldean Council targets cancers among Arabs in Dearborn and Detroit. Funding comes from state dollars and federal preventive health block grants.
2. In 2005, the state required Medicaid managed care organizations to develop and implement programs to reduce health disparities. MMCOs held cultural competency workshops for high-volume providers and re-organized websites to be more navigable.
3. The state launched efforts to analyze plans’ data across racial categories to identify disparities and develop programs to reduce them.
4. Michigan’s Department of Community Health, Health Disparity Reduction and Minority Health has developed a strategic framework for reducing racial and ethnic disparities in the state.