The Fund supports several networks of state health policymakers to help identify, inspire, and inform policy leaders.
The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and total costs of care.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
July 22, 2019
Total Costs of Care
Back to News and Updates
The black box of commercial insurer prices for health care is slowly being pried open. Hospital claims data are showing that commercial hospital prices are high relative to Medicare, and that the size of the price discrepancies is increasing. Hospital size and market power are playing a role in this trend. In a new JAMA Viewpoint, Milbank Memorial Fund President Christopher Koller and Dhruv Khullar, MD, of Weill Cornell Medicine summarize the research and say that some states and employers are taking steps to address the issue.
In Maryland, where state hospital rate-setting regulation has long been in place, public and private insurers pay the same prices for hospital services. Rhode Island, Delaware, and Massachusetts are setting overall spending growth targets and several other states are following suit. Surprise bill legislation has proposed referencing Medicare when determining out-of-network pricing, as some self-insured employers already do. Finally, numerous state and federal policies encourage more price transparency.
According to Koller and Khullar, “The current system, in which private contracts are shrouded in secrecy, leads to costs tethered to the negotiating leverage of health care organizations instead of the value they offer, and patients and employers are paying the price.”
Read the Viewpoint.
Oct 11, 2019
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An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.