Publications

Even as the use of alternative payment models — such as prospective per-patient case rates or performance incentive payments — grows, there is little uniformity in how primary care spending, particularly non-fee-for-service spending, is tracked and defined.  More

The answer to rising health care costs may well lie in initiating state-level conversations among moderates and reframing the way we talk about health care costs, rather than in overturning deeply held ideological beliefs.  More

Rob Waters explores whether the Sutter Health settlement in California can serve as a roadmap for other states looking to control rising health care prices, as well as broader efforts for reining in hospital price inflation, such as antimerger legislation and the use of state price controls.  More

This report analyzes earlier primary care prospective payment models and offers lessons and insights for designing a prospective payment for primary care that will facilitate the delivery of comprehensive, coordinated, and patient-centered primary care.   More

A new Milbank Memorial Fund report from the Center for Evidence-based Policy reviews the evidence on the effectiveness and safety of the use of eConsults by primary care clinicians and clinicians from multiple specialties.   More

Medicaid programs are experimenting with two vital trends in health policy: value-based payment and interventions intended to address social determinants of health, such as housing and transportation. How can they best be coordinated?   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