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  • Fact Sheet Milbank State Leadership Network State Health Policy Leadership Sustainable Health Care Costs

    State Approaches to Addressing Hospital Costs: Virtual Convening of Milbank State Leadership Network Recap

    June 2025 Mary Louise Gilburg Morgan McDonald

    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

  • Stories from the Field: The Impact of Federal Funding Cuts on Population Health Researchers

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

  • Federal Health Data Pauses and Staff Cuts Will Harm American Mothers and Babies

    Milbank State Leadership Network State Health Policy Leadership

    Federal Health Data Pauses and Staff Cuts Will Harm American Mothers and Babies

    June 2025 Lauren Christiansen-Lindquist

    The health and well-being of all Americans — but especially women and babies — relies on timely and accurate data. Pregnancy and early childhood are particularly vulnerable periods that require careful monitoring, support, and response. The more up-to-date information we have, the better chance we have of preventing unnecessary deaths, building healthy families, and setting children up for success. Yet, US Department of Health and Human Services Secretary Robert F. Kennedy’s changes to the agency eliminated the Centers for Disease Control and Prevention’s Division of Reproductive Health, among other divisions, almost entirely. More

  • Sustainable Health Care Costs

    Health Care Affordability: Definitions and Options for States to Track Progress

    June 2025 Grace Flaherty Michael Bailit

    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

  • Speaking of Waste: House Budget Bill Undermines Efforts to Help Older Americans Get the Care They Need

    Speaking of Waste: House Budget Bill Undermines Efforts to Help Older Americans Get the Care They Need

    June 2025 Eric T. Roberts Narda Ipakchi Josh Kramer

    The US House of Representatives–passed tax bill includes a provision that would delay implementation of a federal regulation designed to reduce paperwork burdens that limit older adults’ access to benefits. More

  • Michael S. Sparer

    Michael S. Sparer

    June 2025

    Michael S. Sparer, JD, PhD, is chair of the Department of Health Policy and Management at the Mailman School of Public Health at Columbia University. More

  • Kody Kinsley

    Kody Kinsley

    June 2025

    Kody Kinsley served as North Carolina’s 18th Secretary of Health and Human Services in the administration of Governor Roy Cooper. More

  • Courtney N. Phillips

    Courtney N. Phillips

    June 2025

    Courtney N. Phillips, PhD, is a currently serving as the vice president of health affairs and chief health officer at Louisiana State University. More

  • Milbank State Leadership Network State Health Policy Leadership

    Lessons Learned from Arkansas’ Experience with a Medicaid Work Requirement

    June 2025 Craig Wilson Joseph W. Thompson

    Whether states adopt work requirements voluntarily or implement them pursuant to a federal requirement, they have the advantage of being able to learn from the problems encountered by Arkansas, the first state to implement a Medicaid work requirement. More

  • Integrated Behavioral Health Works and Saves Money. Why Aren’t We Doing It?

    Primary Care Transformation

    Integrated Behavioral Health Works and Saves Money. Why Aren’t We Doing It?

    May 2025 Ann M. Nguyen Alexandra M. Williams Stephanie Marcello

    Integrated care functions as a treatment and prevention strategy, where healthy behaviors are established well before they turn into complex, expensive chronic conditions. More