Publications

Health systems that invest in primary care have better and more equitable health outcomes. Yet primary care faces a crisis (characterized by chronic underinvestment and significant workforce shortages), and that crisis has led to pervasive clinician burnout and reduced access to vital care, especially for populations who have a low income, are elderly, and identify as minorities.  More

This evidence-based framework organizes a GME growth strategy into five iterative stages: exploration, strategy development, strategy design, technical assistance, and optimization.   More

This analysis shows the tangible benefits of primary care access for people with chronic disease, including substantially lower hospitalization rates and health care spending.   More

Copublished with the Duke-Margolis Institute for Health Policy Abstract  Recent federal policy reforms and funding reductions pose…  More

Community health workers, promotores, and community health representatives have historically relied on a patchwork of grants for funding, but more than half of state Medicaid programs have now implemented some form of CHW/P/CHR coverage and payment policy. This toolkit provides model language for state Medicaid leaders and CHW/P/CHR advocates to use as they develop State Plan Amendments and accompanying guidance documents to establish coverage and payment for CHW/P/CHR services.  More

Over the last decade, high and rising health care costs have squeezed patients’ wallets, strained local economies, and consumed a growing share of state budgets. In response, states have increasingly recognized the urgency of addressing unsustainable health care cost growth through innovative cost containment strategies  More

The Milbank State Leadership Network (MSLN) hosted two virtual sessions for state-to-state discussion on opportunities and strategies related to the federal Rural Health Transformation (RHT) Program, recently launched by the Centers for Medicare & Medicaid Services (CMS).  More

This policy brief provides an overview of opportunities to improve state health care workforce data collection and analysis.   More

Our experience in Vermont highlights both the strengths and the limitations of evaluating efficiency using standard measures of expenses and revenue.  More