The Milbank Blog

  • How Well Does State Supervision of Hospital Mergers Work?

    Jul 8, 2019 | Erin C. Fuse Brown

    In a new Milbank blog post, Erin C. Fuse Brown, associate professor of law at Georgia State University College of Law, reports that the research presented at the workshop gave a mixed picture of COPA’s impact on price and quality. The experiences of states highlighted the importance and difficulty of sustaining COPA supervision over the long-term. Nevertheless, COPAs may be an appropriate policy tool in some circumstances, such in rural or semi-rural areas with little competition. Read more

  • A Better Way to Contain Medicaid Costs

    Jun 13, 2019 | Governor John Kitzhaber, Bruce Goldberg

    As the cost of health care continues to rise faster than state revenue, states’ Medicaid commitments undermine their ability to invest in education and other important priorities.1 In response, some states have embraced Medicaid block grants, in which they would receive a fixed annual sum from the federal government, as a way to avoid increasing program costs. The Tennessee legislature, for … Read more

  • How New Data on Hospital Prices Paid by Employers Can Help States

    May 29, 2019 | Rachel Block

    New research published by the RAND Corporation earlier this month compares hospital prices paid by private health plans with Medicare prices in 25 states. These new data shed light on hospital prices and point to some actions that states could take to help manage costs. Read more

  • Comprehensive Primary Care in Ohio and Kentucky – Positive Findings

    Jan 30, 2019 | Lisa Dulsky Watkins

    As a former pediatrician in rural Vermont and a career-long believer in the centrality of primary care, I have been frustrated and dismayed to witness the lack of definitive evidence demonstrating what is considered to be conventional wisdom—that a high-performing health system must have primary care at its core. For a decade, I have been in the position of counseling patience, insisting that … Read more

  • What Local Government Can Do for Aging Populations: Insights from San Diego County

    Nov 28, 2018 | Nick Macchione, Joanne Lynn

    State and local leaders who aim to improve population health must help older Americans live well with the challenges associated with aging. Given the rapidly rising number of elders, local governments have remarkable opportunities to facilitate improvements in health and quality of life for elderly people living with disabilities and serious illnesses. In March 2016, the county of San Diego joined … Read more