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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.
16 articles found. Displaying 1 - 10.
Oct 11, 2019
In a new “Milbank Quarterly” guest opinion, Delaware’s Health and Human Services Secretary Kara Odom Walker says that any solution that lowers health care costs and improves quality will require a foundation of enhanced primary care. Read more
Sep 18, 2019
To explore what employers and regulators can do about rapidly rising health provider prices and debate the most effective policies, “Los Angeles Times” journalist Noam N. Levey sat down with Dr. Robert Galvin, CEO of Equity Healthcare and an operating partner at Blackstone, and Robert Murray, the former executive director of the Maryland Health Services Cost Review Commission. Read more
Jul 22, 2019
In a new JAMA “Viewpoint,” Milbank Memorial Fund President Christopher Koller and Dhruv Khullar, MD, of Weill Cornell Medicine summarize the research showing that commercial hospital prices are high relative to Medicare, and that the size of the price discrepancies is increasing. They highlight steps some states and employers are taking to address the issue. Read more
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
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
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
Aug 28, 2018
“You can’t manage what you can’t measure.” – Peter Drucker. States face growing challenges to manage and measure health care costs. By looking at the cost performance across all payers of the system as a whole, or a particular set of services such as hospital care, these states can advance more comprehensive strategies for delivery system reform. This month, we took a look at four … Read more
May 31, 2018
Massachusetts isn’t the only state making progress when it comes to measuring health care costs. Delaware is also moving forward with its own approach. Delaware’s Secretary of the Department of Health and Social Services (DHSS) Kara Odom Walker was tasked with leading this effort. The Fund assisted the secretary’s work by sharing policy lessons learned from the Totals Cost of … Read more
Apr 30, 2018
State policymakers want to know how to control health care costs. In fact, global budgeting, the idea of putting a limit on spending, is attracting attention. The New York Times recently published an article on Maryland’s work on cost containment, Would Americans Accept Putting Health Care on a Budget? To find out more about Massachusetts’ efforts, we asked David Seltz, executive … Read more
Jan 25, 2018
The Milbank Memorial Fund has teamed up with AcademyHealth to establish a new annual award that recognizes state and local efforts to advance innovation using data to improve the health of populations and the performance of health systems. The prize was created to draw attention to, and reward, the efforts of state and local governments to develop and use data to achieve measurable … Read more
Several states have adopted policies that focus on measuring and setting a growth rate target for total cost of care. By looking at the cost…
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