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This issue brief examines how three of these states —Massachusetts, Oregon, and California — have strengthened cost growth target accountability. It also highlights five states — California, Connecticut, Delaware, Massachusetts, and Oregon — that have leveraged their cost growth targets in other health care oversight programs. More

Many health providers are interested in making the shift to value-based payment (VBP), as these models can give greater flexibility in providing whole-person care, but administrative burden, variation in payer contracts, and a rapidly changing policy environment can impede their participation and success in these models. Streamlining the administration of payment models and adding supports like data sharing across payers and providers can make it easier for organizations by enabling more flexibility in care delivery, timely access to actionable information, and increased support for the health care workforce. More

In 2024 and 2025, Bailit Health convened two work groups to establish consensus definitions and methodologies for health care spending analyses with support from the Peterson-Milbank Program for Sustainable Health Care Costs. More

The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to discuss factors contributing to rising health care costs as well as opportunities for states to slow spending growth and make health care more affordable, with a particular focus on hospital costs. The briefing was hosted in partnership with Bailit Health, the technical assistance provider for the Peterson-Milbank Program for Sustainable Healthcare Costs. More

In collaboration with the Interdisciplinary Association for Population Health Science, The Milbank Quarterly invited population health researchers to… More

Health care affordability is a key concern for state agencies and policymakers looking to ensure access to care without creating undue financial burdens on patients, employer purchasers, and states. But affordability means different things to different stakeholders. For consumers, it might mean whether they can pay out-of-pocket costs without skipping care. For employers, it may mean health plan premium increases that don’t cut into their margins and/or reduce the ability offer competitive wages. For state officials, it might mean balancing the state budget by managing Medicaid and state employee health plan spending. More