News and Updates

  • Oregon Builds Consensus to Expand Cost Control Efforts

    Mar 26, 2019

    Oregon has been a leader in targeting the growth in overall health care costs. In 2012, the state adopted a unique approach to growth limits for the Oregon Health Plan, first for its Medicaid beneficiaries and then for public employees. State officials had discussed extending the model to other populations and types of coverage, but a plan to do so had not emerged…until now. In the fall of … Read more

  • New Milbank-Supported Report: Strengthening Medicaid Long-Term Services and Supports: 2019 Update

    Mar 20, 2019

    As the population ages, one of the greatest challenges facing state officials is how to organize and pay for long-term services and supports (LTSS) for low-income elderly and disabled adults—the most complex, expensive, and fastest-growing group covered by Medicaid. To help address this challenge, a toolkit for state leaders published in 2017 has been updated. Written by Manatt Health … Read more

  • Milbank Memorial Fund Supports New Report on the Impact of the Opioid Epidemic on Children

    Mar 7, 2019

    Opioid addiction is well recognized as a national crisis, but its impact on children and adolescents whose parents are addicted has received little attention. A new report published by the United Hospital Fund (UHF), with support from the Milbank Memorial Fund and the Alfred P. Sloan Foundation, makes clear that the magnitude of the epidemic’s impact is much greater than realized. Even if the … Read more

  • What’s on the Minds of State Health Policymakers? New Reforming States Group Projects for 2019

    Feb 28, 2019

    This past fall, at meetings of the Reforming States Group (RSG), 101 state health policy leaders from 38 states gathered in Portland (Oregon), Charleston, and Louisville to share strategies for improving population health. Legislators and executive branch leaders, usually attending as a state delegation, updated one another on recent health policy accomplishments and challenges in their home … Read more

  • Compact to Slow Health Care Spending Growth Signed in Rhode Island

    Feb 28, 2019

    Rhode Island has a history of taking the lead when it comes to health care spending. Beginning in 2010, the state instituted health care “affordability” standards for health insurers. These standards created strong incentives for reduced rates of growth in health care spending for commercial insurance—first by directing increased investment in the state’s primary care health system and … Read more

  • New Resources Focus on Patients with Complex Care Needs

    Jan 30, 2019

    Two new resources are available for providers who work with patients with complex care needs. One is a report from the Six Foundation Collaborative, made up of The Commonwealth Fund, The John A. Hartford Foundation, Milbank Memorial Fund, Peterson Center on Healthcare, Robert Wood Johnson Foundation, and The SCAN Foundation. Read more

  • The Milbank Quarterly‘s Top 5 Articles and Opinions of 2018

    Jan 24, 2019

    The Milbank Quarterly is pleased to report its most-read peer-reviewed articles and opinions of 2018. All are freely available. Read more

  • New Issue Brief: To Oversee or Not to Oversee? Lessons from the Repeal of North Carolina’s Certificate of Public Advantage Law

    Jan 17, 2019

    A certificate of public advantage (COPA) is a tool used by states to permit and oversee hospital mergers that create monopoly powers. A few months ago, we published a paper about the use of a COPA in Tennessee and Virginia. But what happens when a COPA is repealed? In a new issue brief, Erin Fuse Brown, of Georgia State University College of Law, takes a look at the COPA law in North Carolina … Read more

  • Reforming States Group Meetings Focus on Leadership During Transition

    Dec 19, 2018

    2018 was a major year for state leadership change. Nearly 82% of all state legislative seats were up for election and elections for governor were held in 36 states. During three Reforming States Group (RSG) meetings in November and December, attendees from 38 states discussed likely effects of the recent election on state and federal health policy—and the importance of  leadership during … Read more

  • Bipartisanship and State Health Policy: Recent Work from the Fund

    Dec 19, 2018

    If durable policy remains the result of bipartisan efforts, what does the future of state health care reform look like? In a new NEJM Perspective piece, The Future of Health Care Reform — A View from the States on Where We Go from Here, Christopher Koller, Fund president, along with researchers Christina Pagel and David K. Jones, asked state health policy leaders about what a shift toward state … Read more