Publication Topic

Health Care Affordability

Content Type:

  • Why Preventive Care Still Struggles Financially—Even in Value-Based Care 

    Blog Post

    Why Preventive Care Still Struggles Financially—Even in Value-Based Care 

    May 2026 Justin Frazer

    For more than a decade, US health policy has been moving toward value-based care, or paying for health outcomes rather than the number of services delivered. And yet, even within many value-based models, preventive care often remains financially difficult to sustain. More

  • Blog Post

    Leveraging Insurer-Provided Health Care Price Data to Inform State Policy Solutions

    March 2026 Shruthika Padhy Christopher M. Whaley

    Driven mainly by high and variable prices, United States’ health care spending is among the highest in the world. Yet, higher prices make health care less affordable and are often not linked to higher quality. More

  • News Article

    Building Support for Legislation to Shed Light on Drug Costs 

    January 2026

    Long concerned about the impact of pharmacy benefit managers (PBMs) on pharmaceutical prices, Milbank’s Emerging Leaders Program alumna Kim Chen developed and helped pass 2025 state budget legislation to create licensure for these entities. More

  • No Such Thing as Being Out of Harm’s Way 

    Blog Post

    No Such Thing as Being Out of Harm’s Way 

    December 2025 Christopher F. Koller

    “Hi, Chris and John! How are you doing?”  Dawnie greets us cheerfully, pushing a cart full of dirty utensils towards the elevator of the… More

  • Separating the Haves from the Have-Nots: State Options for Targeted Application of Hospital Affordability Policies 

    Publication

    Separating the Haves from the Have-Nots: State Options for Targeted Application of Hospital Affordability Policies 

    September 2025 Sarah Kinsler

    This report describes how states can focus affordability efforts to impact highly resourced hospitals and health systems (the haves) without endangering those that would struggle to implement state commercial market affordability policies (the have-nots). It also provides options to help states identify hospitals within each group, using existing public analyses and state data where available.  More

  • Publication

    How States Strengthened Their Health Care Markets in the 2025 Legislative Session 

    August 2025 Nathan Hostert

    In the first half of 2025, states enacted numerous laws to strengthen their health care markets. These new laws address several recurring policy issues affecting states across the country, including skyrocketing health care costs, increased consolidation in the healthcare sector, and the heightened penetration of private equity in health care systems. This brief highlights trends in state health policy across four major themes and identifies states that have made significant reforms in each of these areas this year. More

  • Publication

    State Approaches to Addressing Hospital Costs: Virtual Convening of Milbank State Leadership Network Recap

    June 2025 Mary Louise Gilburg Morgan McDonald

    The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to discuss factors contributing to rising health care costs as well as opportunities for states to slow spending growth and make health care more affordable, with a particular focus on hospital costs. The briefing was hosted in partnership with Bailit Health, the technical assistance provider for the Peterson-Milbank Program for Sustainable Healthcare Costs. More

  • Speaking of Waste: House Budget Bill Undermines Efforts to Help Older Americans Get the Care They Need  

    Blog Post

    Speaking of Waste: House Budget Bill Undermines Efforts to Help Older Americans Get the Care They Need  

    June 2025 Eric T. Roberts Narda Ipakchi Josh Kramer

    The US House of Representatives–passed tax bill includes a provision that would delay implementation of a federal regulation designed to reduce paperwork burdens that limit older adults’ access to benefits.   More

  • Virtual Briefing

    Demystifying Health Care Costs

    May 2025 Sarah-Hannah Herman

    The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to discuss factors contributing to rising… More

  • Publication

    The Corporate Backdoor to Medicine: How MSOs Are Reshaping Physician Practices

    April 2025 Hayden Rooke-Ley Megha Reddy Neil Mehta Yashaswini Singh Erin C. Fuse Brown

    Private equity firms, insurance companies, and other corporate entities are using MSOs to bypass state prohibitions on the corporate practice of medicine, allowing large corporations to functionally own medical practices and influence clinical care. More