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  • Optimizing State Policies for Primary Care Payment Reform

    Primary Care Transformation

    Optimizing State Policies for Primary Care Payment Reform

    May 2025 Stephanie B. Gold Kyle Leggott Sarah Hemeida Lakshmi Karra Apoorva Ram Lauren S. Hughes

    To inform state-level primary care payment policies, we reviewed recent policies advancing primary care payment reform in the commercial sector and conducted interviews with 50 stakeholders in five pioneering states: Arkansas, Colorado, Delaware, Rhode Island, and Washington. More

  • Guide to Hospital Price Growth Targets

    Fact Sheet Sustainable Health Care Costs

    Guide to Hospital Price Growth Targets

    May 2025 Sarah Kinsler Caitlin Otter

    This document describes the hospital-specific market basket methodology, which states can use to calculate hospital performance against the hospital price growth target. The Peterson-Milbank Program for Sustainable Health Care Costs funded the development of code that can be used to perform this analysis using state all-payer claims data. The document also includes key design and implementation considerations for states pursuing a hospital price growth target. More

  • Milbank State Leadership Network State Health Policy Leadership

    “A Government Committed to Serving Everybody with Dignity and Respect”

    May 2025 Christopher F. Koller

    Public acts of violence are harmful to viewers as well as victims, particularly when the victims are powerless. They can leave witnesses helpless and… More

  • Issue Brief Primary Care Transformation

    Foundational Values for Whole Person Health

    April 2025 Hoangmai H. Pham Wayne Jonas Mark Smith

    This brief identifies beliefs and common practices in health care culture that the authors suggest have hindered the spread of these models, as well as opportunities for the policymakers and influencers, payers, and clinicians to support whole-person health. More

  • Issue Brief Sustainable Health Care Costs

    The Corporate Backdoor to Medicine: How MSOs Are Reshaping Physician Practices

    April 2025 Hayden Rooke-Ley Megha Reddy Neil Mehta Yashaswini Singh Erin C. Fuse Brown

    Private equity firms, insurance companies, and other corporate entities are using MSOs to bypass state prohibitions on the corporate practice of medicine, allowing large corporations to functionally own medical practices and influence clinical care. More

  • “Reforming” Medicaid: What Is the Problem, Exactly?

    April 2025 Christopher F. Koller

    For all the concern of Medicaid “reform,” the real problem here is how to pay for tax cuts — ones that increase income disparities — in the hopes of stimulating the economy. Low-income Medicaid beneficiaries should not foot the bill. More

  • Fact Sheet Milbank State Leadership Network State Health Policy Leadership

    Legislator Briefing on Funding Cuts to State and Local Public Health: Virtual Convening of the Milbank State Leadership Network

    April 2025 Sofia Espinosa Morgan McDonald

    The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to hear directly from state and local public health officials on the impact of funding and federal program staffing cuts to core services. More

  • Praying for the Dam to Hold

    Milbank State Leadership Network State Health Policy Leadership

    Praying for the Dam to Hold

    April 2025 Morgan McDonald

    As health departments brace for potential additional funding losses, Morgan McDonald calls on state and local staff and policymakers on all sides of the aisle to communicate the impact of the cuts, particularly with their federal delegations. More

  • Engaging Employers in Addressing Health Care Affordability

    Sustainable Health Care Costs

    Engaging Employers in Addressing Health Care Affordability

    April 2025 Alex Reger Lisa Sementilli

    The Connecticut Office of Health Strategy is working toward engaging employers in the policy process. More

  • Running the Ground Game: Local Public Health in a Time of Outbreaks and Vaccine Hesitancy

    Milbank State Leadership Network State Health Policy Leadership

    Running the Ground Game: Local Public Health in a Time of Outbreaks and Vaccine Hesitancy

    April 2025 Jennifer Avegno

    With federal funding cuts affecting local health departments, running a strong ground game is more challenging now than ever. More