The States of Health

Focus Area

Topic

  • Addressing Unmet Health Care Needs Through Insurance Benefit Design: Challenges and Opportunities

    March 2026 Cori E. Uccello Annette James Rebecca A. Sheppard Sara Teppema

    Public programs have increasingly sought to address health-related social needs that create barriers to care and health disparities and drive health care costs. For instance, several state Medicaid programs now cover medically tailored meals, housing supports, and non-emergency transportation through managed care and demonstration waivers.   More

  • Integrating State Data to Promote Evidence-Based Policy: The New Jersey Integrated Population Health Data (iPHD) Project

    March 2026 Margaret Koller Joe Brecht

    Which pregnant women are most likely to rely on emergency department care, and how can they be better served? How did COVID-19 affect birth outcomes, and what would support improvements in future infectious disease outbreaks? These and other questions can be answered with existing state data when these data are integrated.  More

  • Leveraging Insurer-Provided Health Care Price Data to Inform State Policy Solutions

    March 2026 Shruthika Padhy Christopher M. Whaley

    Driven mainly by high and variable prices, United States’ health care spending is among the highest in the world. Yet, higher prices make health care less affordable and are often not linked to higher quality.  More

  • 2026 Primary Care Scorecard Shows Continued Underinvestment, Workforce Strain

    February 2026 Yalda Jabbarpour

    The 2026 Primary Care Scorecard data show incremental, but fragile, gains in the primary care workforce and training pipeline. Financing for primary care continues to stagnate, with national spending levels largely unchanged and far below what is needed. There was considerable state variability for primary care spending and for primary care workforce density.  More

  • A Five-State All-Payer Claims Database Collaboration: Onpoint Health Data’s Multi-State Behavioral Health Initiative

    January 2026 Amy Kinner Katherine Ahrens Katie McGraves-Lloyd

    Takeaways for states considering cross-state all-payer claims database collaborations to assess health care quality, use, or costs.  More

  • Paying for Children’s Health: Building a Healthier Future from the Start

    January 2026 Kara Odom Walker Rachel J. Thornton Steven M. Costantino Andrew Wilson

    “If we want to change the trajectory of adults’ health, we have to start with the health of children.”  Over the past decade,…  More

  • The Pathway to Primary Care Investment Is Bolstered by Accountable Care

    December 2025 Farzad Mostashari

    Primary care improves outcomes, reduces costs, and decreases disparities, yet continues to be critically underfunded. The result? Fewer clinicians choosing primary care, particularly independent primary care, declining morale among those who do, and decreased patient access.   More

  • Achieving Financial Sustainability and Access in Rural Health Care Through Cooperative Efforts Among Existing Health Providers

    December 2025 Howard J. Peterson

    Rural Regional Organizations for Cooperation present an opportunity to build more robust and sustainable health care solutions for rural areas.   More

  • Primary Care Needs a Triple Double: A Call to Action

    November 2025 Asaf Bitton, MD, MPH

    Health care should not just be about treating illness. It should be about preventing it, building long-term healing relationships, and improving overall health outcomes. So, when we talk about how to extend life expectancy and improve health at a sustainable cost, the answer is simple: double down on primary care.  More

  • Robust Implementation of Medicaid Postpartum Extensions Needed to Maintain Maternal Health Momentum

    November 2025 Eva H. Allen Jennifer M. Haley

    In 2024, there were 18.7 maternal deaths per 100,000 live births, with Black and Native women at significantly higher risk of maternal mortality. Medicaid is at the forefront of addressing the US maternal health crisis given that it covers 4 in 10 births nationwide, nearly two-thirds of births to Black women, and more than one-quarter of births to Native women.   More