Publication Topic

Delivery System Reform

Content Type:

  • What Makes Michigan’s High-Performing Primary Care Practices Work Well?

    Blog Post

    What Makes Michigan’s High-Performing Primary Care Practices Work Well?

    January 2021 Diane Marriott Jerome Finkel

    Since the advent of the patient-centered medical home and team-based care concepts, health reformers have sought to unearth the specific interventions and techniques in primary care settings that are most likely to improve patient outcomes and value. More

  • The “988” Opportunity: Improving Our Response to Behavioral Health Crises

    Blog Post

    The “988” Opportunity: Improving Our Response to Behavioral Health Crises

    November 2020 Rachel Block

    The 988 designation is a federal designation of the need for easier access to behavioral health crisis services and part of a trend for strengthening the continuum of behavioral health care to include a wide array of community-based services, as well as inpatient services through public and private hospitals. More

  • Medicare’s Bundled Payment Initiatives: Evidence for Evolution

    News Article

    Medicare’s Bundled Payment Initiatives: Evidence for Evolution

    September 2020

    A slideshow with highlights from a Milbank Quarterly review examining 16 of Medicare’s payment programs for hospital-initiated episodes. More

  • Patient Engagement: Make It Real

    Blog Post

    Patient Engagement: Make It Real

    September 2020 Robert M. Hayes

    Patient engagement in the governance of health care organizations is important to the competent delivery of high-quality health care. More

  • Blog Post

    A Decade of Commitment to Primary Care Transformation Is Starting to Yield Positive Results

    July 2020 Lisa Dulsky Watkins

    Lisa Dulsky Watkins, MD, summarizes the key findings of a recent brief on three value-based primary care programs involving Arkansas Blue Cross and Blue Shield. More

  • Value-Based Primary Care: Insights from a Commercial Insurer in Arkansas

    Publication

    Value-Based Primary Care: Insights from a Commercial Insurer in Arkansas

    July 2020 Clare C. Brown J. Mick Tilford Alicia Berkemeyer Victor Davis Adam Whitlock

    This issue brief looks at data from three Arkansas Blue Cross and Blue Shield value-based primary care programs, finding reduced beneficiary spending, as well as a 2:1 return on investment. More

  • A Nursing Home Alternative

    Blog Post

    A Nursing Home Alternative

    July 2020 Terry Fulmer Christopher F. Koller

    The COVID-19 crisis is driving an all-out call for major public policy changes in nursing homes. In a new blog post copublished with The John A. Hartford Foundation (JAHF), JAHF President Terry Fulmer and Milbank Memorial Fund President Christopher F. Koller go a step further, envisioning the end of the nursing home industry itself. More

  • How Alabama Lowered Its Infant Mortality Rate

    News Article

    How Alabama Lowered Its Infant Mortality Rate

    July 2020

    Alabama has persistently had one of the highest infant mortality rates in the United States—one on par with those in developing nations. But in 2017, Alabama saw a nearly 20% drop in its infant mortality rate. By 2018, the infant mortality rate dropped for the second consecutive year, thanks in part to the state’s revitalized perinatal regionalization program. More

  • News Article

    Maryland Offers Lessons on Building a Stronger Health System Post-COVID

    June 2020

    A new package of Milbank Memorial Fund publications highlights Maryland’s health policy innovations, including its advanced primary care program and all-payer hospital model. More

  • News Article

    Rhode Island’s Updated Affordability Standards Support Behavioral Health and Alternative Payment Models

    June 2020 Rachel Block

    Ten years ago, Rhode Island instituted health care “affordability standards” for commercial health insurers to encourage them to improve the affordability of their health plans, as well as enhance health care quality and consumer protections. The Rhode Island Office of Health Insurance Commissioner (OHIC) recently updated these standards, continuing its primary care funding requirement and adding important new provisions designed to facilitate behavioral health integration and accelerate the adoption of payment reforms. More