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  • Primary Care Needs a Triple Double: A Call to Action

    Primary Care Transformation

    Primary Care Needs a Triple Double: A Call to Action

    November 2025 Asaf Bitton, MD, MPH

    Health care should not just be about treating illness. It should be about preventing it, building long-term healing relationships, and improving overall health outcomes. So, when we talk about how to extend life expectancy and improve health at a sustainable cost, the answer is simple: double down on primary care. More

  • The Triple Double: Doubling Down on Primary Care by State

    Primer Health of US Primary Care Scorecard Primary Care Transformation

    The Triple Double: Doubling Down on Primary Care by State

    November 2025

    Copublished with the Robert Graham Center and the Dr. John W. Hatch Center for Science The issue The 2025 US Primary Care… More

  • Health Care Costs Health Insurance US Health Care Reform

    Where Next for Health Policy?

    November 2025 Sherry Glied Lawrence D. Brown

    Despite all the criticism, the ACA has had notable success in achieving its objectives. More

  • Health Equity Population Health Social drivers of health Value-Based Payment

    Now What? Neighborhood Nursing’s Answer to the US Health Care Paradox of Spending More but Getting Less

    November 2025 ANDRE NOGUEIRA MARGARET M. FITZPATRICK ASHLEY GRESH KENNEDY MCDANIEL TIFFANY J. RISER TERRANCE LINDSAY RANDI WOODS ADEDOYIN EISAPE LISA STAMBOLIS ALICIA COOKE BRUCE LEFF ELIANA PERRIN REGINA HAMMOND Sarah L. Szanton

    Despite spending more per capita on healthcare than any other nation, the United States experiences declining life expectancy and increasing chronic disease burden—a paradox reflecting fundamental limitations in the current treatment-centered, facility-based care system. This paper introduces Neighborhood Nursing, an innovative universal care infrastructure designed to shift the US healthcare toward proactive, prevention-centered care organized geographically in neighborhoods. More

  • Population Health Public Health

    Public Concern about Threats to Public Health and Science Remains Modest

    November 2025 Rebekah H. Nagler Erika Franklin Fowler Emily K. Vraga Alexander J. Rothman Sarah E. Gollust

    US adults’ awareness of actions threatening public health and science declined between March and September 2025, according to a new survey. More

  • Best Practices in Health Care Claims Data Analysis to Inform State Action and Control Costs

    Report Health Care Affordability

    Best Practices in Health Care Claims Data Analysis to Inform State Action and Control Costs

    November 2025 Jessica Mar Caitlin Otter Michael Bailit

    Over the last decade, high and rising health care costs have squeezed patients’ wallets, strained local economies, and consumed a growing share of state budgets. In response, states have increasingly recognized the urgency of addressing unsustainable health care cost growth through innovative cost containment strategies More

  • Robust Implementation of Medicaid Postpartum Extensions Needed to Maintain Maternal Health Momentum

    Robust Implementation of Medicaid Postpartum Extensions Needed to Maintain Maternal Health Momentum

    November 2025 Eva H. Allen Jennifer M. Haley

    In 2024, there were 18.7 maternal deaths per 100,000 live births, with Black and Native women at significantly higher risk of maternal mortality. Medicaid is at the forefront of addressing the US maternal health crisis given that it covers 4 in 10 births nationwide, nearly two-thirds of births to Black women, and more than one-quarter of births to Native women. More

  • Pharmaceutical and Medical Device Policy

    The New Politics of New Drug Approval

    November 2025 Paul T. Kim

    As feared at the start of the second Trump Administration, the Food and Drug Administration (FDA) has proven a willing good soldier in fulfilling the… More

  • Population Health Public Health

    What Could Be Wrong with “Gold Standard Science”?

    October 2025 Joshua M. Sharfstein

    If repetition is the mother of learning, then I am learning that the second Trump administration likes to use the term “gold standard science.” It is… More

  • Health Care Practice / Quality Population Health

    Trends in Long-Term Care Ombudsman Program Funding and Its Relationship to Nursing Home Resident Care

    October 2025 Katherine A. Kennedy Cyrus Kosar Madison S. Williams Kali S. Thomas

    Context: Funded partially by the Older Americans Act, state Long-Term Care Ombudsman Programs (LTCOPs) provide a critical role in serving as… More