News and Updates

  • A Better Way to Contain Medicaid Costs

    Jun 13, 2019

    The Tennessee legislature recently passed a bill that could make it the first state to request a Medicaid block grant. Under a block grant, Tennessee would receive a fixed annual sum from the federal government for its Medicaid program rather than open-ended federal dollars. But John Kitzhaber, MD, former governor of Oregon, and Bruce Goldberg, MD, former director of the Office for Oregon Health Policy and Research, say that this approach does nothing to reduce the cost of care and hurts Medicaid recipients. Read more

  • A Growing Number of States Have Policies to Increase Primary Care

    Jun 5, 2019

    A first step toward increasing primary care investment is measuring and reporting on existing primary care spending. In 2019, several states introduced legislation on this topic, and Colorado and Vermont now have new laws to advance these policies. Read more

  • Supporting Rural Health: Practical Solutions for State Policymakers

    May 29, 2019

    Many health care challenges are exacerbated in rural areas, such as limited access to services, provider shortages, and the prevalence of avoidable deaths from chronic disease and substance use disorders. In a new issue brief, Emily Whelan Parento, an O’Neill Institute Scholar at Georgetown University Law Center, summarizes information presented at three Reforming States Group regional meetings of state and federal health officials and health services researchers working on rural health issues. The brief examines the importance of health care delivery models that promote and incentivize investment in community health, the need for workforce development such as programs to train and retain providers in rural areas, and the need for ongoing rural health research and policy development. Read more

  • Can Competing Health Plans Collaborate to Improve Primary Care?

    May 17, 2019

    For a new issue brief, Noam Levey interviewed participating payers in three distinct regional markets in the Comprehensive Primary Care Plus program: Colorado, Oklahoma, and Greater Philadelphia. While the challenges inherent in fostering collaboration across companies that usually compete vigorously were handled differently in each market, common themes emerged including strong payer commitment and the need for sustained federal leadership. Read more

  • CMS Expands Commitment to Multi-Payer Primary Care Transformation with Primary Care First Announcement

    Apr 30, 2019

    On April 22, the Centers for Medicare and Medicaid Services (CMS) Innovation Center announced a new set of payment models for primary care—”Primary Care First.” The models expand CMS’s commitment to multi-payer primary care transformation—extending its Comprehensive Primary Care Plus (CPC+) program to more markets and more primary care providers with a third payment track. Primary Care … Read more

  • How Much Does Medicare Spend on Primary Care? The Fund Supports New Research

    Apr 30, 2019

    How much does Medicare spend on primary care? As more evidence mounts about the benefits of primary care, a growing number of health policy leaders want to know if this investment is being made. New research conducted by the RAND Corporation and published in JAMA Internal Medicine, with support from the Milbank Memorial Fund, analyzes for the first time national and state estimates of primary care … Read more

  • San Diego County Receives State and Local Innovation Prize

    Apr 30, 2019

    Leveraging shared data to address the opioid crisis in nine states. Addressing chronic disease management in a large safety net system in New York City. Coordinating public and private resources to manage community health improvement goals in San Diego. What do these three population health challenges have in common? Each one is using a data analytics roadmap (DAR) to turn analysis into … Read more

  • New Case Study: How Community Health Centers Are Addressing the Opioid Epidemic

    Apr 17, 2019

    Last month, the Milbank Memorial Fund and the United Hospital Fund released The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families. The report made clear that the magnitude of the opioid epidemic’s impact is much greater than realized. In a companion case study to the report, Robert M. Hayes and Joseph Squitieri, DO, of Community Healthcare Network, a federally qualified health center in New York City, explore how community health centers are addressing the opioid epidemic. Read more

  • New Issue Brief: Investing in Medicaid Management: What Governors Need to Do

    Apr 15, 2019

    Complex policy and political choices for Medicaid may get a lot of press, but the management challenges for the largest program in a state’s budget are not as well recognized. The Milbank Memorial Fund turned to a former governor and former director of a state health and human services agency—and asked them to draw on their own experience to help the nation’s governors understand why … Read more

  • 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