Publications

Abstract State Medicaid programs are experimenting with two vital trends in health policy—value-based payment (VBP) and interventions intended to…  More

A report copublished by the Milbank Memorial Fund and the Kaiser Family Foundation looks at state options for accessing federal Medicaid funds for certain inpatient services provided by “institutions for mental disease” or IMDs.   More

In a new report cosponsored by The John A. Hartford Foundation and the Milbank Memorial Fund, Johns Hopkins Bloomberg School of Public Health researchers highlight five states—Washington, Hawaii, Maine, Minnesota, and Tennessee— that have advanced policies and programs in support of family caregivers.  More

Opioid addiction is well recognized as a national crisis, but its impact on children and adolescents whose parents are addicted has received little attention. This 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.   More

How are states responding to the growing trend of hospital system mergers? Some states have responded by issuing certificates of public advantage (COPAs), a legal mechanism through which they can approve mergers that reduce or eliminate competition in return for commitments to make public benefit investments and control health care cost growth. In effect, a COPA creates a state-monitored monopoly—or a public utility model of health care delivery. This report describes the experience of Tennessee and Virginia.   More

As the US population ages, the demand for long-term care options has grown. Special focus has been on Medicaid programs, which pay for most long-term…  More

Last year’s “repeal and replace” fight in Congress underscored how deep—and deeply confusing—disagreements over health care policy can be. Author David K. Jones traveled to Colorado and Kansas to find out what Republican and Democrat legislators were concerned about now when it comes to health reform. What does the bipartisan conversation look like in these states?   More

We know that state health policy can play an important role in improving population health. But where have there been objective improvements in the health of residents? How were those improvements achieved and what are the lessons?  More

Many state health policy leaders are interested in telehealth as a way of expanding patient access to care, especially in rural areas. This report looks at ways to expand and clarify telehealth reimbursement policies, especially as they relate to private payers.  More

Primary care is often acknowledged as the foundation of any high-performing health care delivery system. But how much of our health dollars go to supporting it?  More