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  • Assessing Hospital Efficiency: Considerations for States Seeking to Reduce Health Care Costs

    Report Health Care Affordability

    Assessing Hospital Efficiency: Considerations for States Seeking to Reduce Health Care Costs

    July 2025 Alyssa Vangeli Sarah Kinsler

    This brief provides an overview of existing state, federal, and private sector hospital efficiency measures; the advantages and limitations of those measures; potential modifications to existing measures; and options for how states can employ new or existing measures to better understand current hospital efficiency levels and incentivize improved efficiency. More

  • Hard-Won Gains Against Sexually Transmitted Infections Could Slip Away

    Milbank State Leadership Network State Health Policy Leadership

    Hard-Won Gains Against Sexually Transmitted Infections Could Slip Away

    July 2025 Shannon Dowler

    People of every gender, race, age, and ethnicity are affected by sexually transmitted infections (STIs). Currently, the United States is experiencing the largest epidemic of congenital syphilis since the 1990s, with thousands of babies being born with the potential for lifelong disabilities and death each year. On the other end of the life spectrum, the 60-plus crowd is moving into retirement communities with the most rapidly rising rates of STIs of any age group. More

  • Keshia Pollack Porter

    Keshia Pollack Porter

    July 2025 Mary Louise Gilburg

    Keshia M. Pollack Porter, PhD, MPH is a Bloomberg Centennial Professor and incoming dean (effective 8/1/25) at the Johns Hopkins Bloomberg School of… More

  • Milbank State Leadership Network State Health Policy Leadership

    Protecting and Promoting Public Service: Rejecting the Violence of Divisiveness

    July 2025 Christopher F. Koller Morgan McDonald

    Liz Reyer ran for state representative in Minnesota to change things for the better, not to fear for her life or those of her family members. But the murder of her fellow representative and party leader Melissa Hortman and her husband, and the shooting of her cross-chamber colleague Sen. John Hofmann and his wife, on June 15 has brought the unthinkable to the realm of the possible. More

  • Report Health Care Affordability

    Consensus Administrative Specifications for Health Care Cost Analyses

    June 2025

    Download consensus definitions and methodologies for health care cost driver analyses and cost growth target programs. More

  • Issue Brief Health Care Affordability

    Beyond Public Reporting: Strengthening Accountability to States’ Cost Growth Targets and Leveraging Targets in Health Care Oversight

    June 2025 Grace Flaherty January Angeles

    This issue brief examines how three of these states —Massachusetts, Oregon, and California — have strengthened cost growth target accountability. It also highlights five states — California, Connecticut, Delaware, Massachusetts, and Oregon — that have leveraged their cost growth targets in other health care oversight programs. More

  • Stories from the Field: The Impact of Federal Funding Cuts on Population Health Researchers

    June 2025

    In collaboration with the Interdisciplinary Association for Population Health Science, The Milbank Quarterly invited population health researchers to… More

  • Issue Brief State Health Policy Leadership

    Advancing State-Based Health Reform through the NC State Transformation Collaborative: A Multistakeholder Initiative in Action

    June 2025 Brianna Van Stekelenburg Rebecca G. Whitaker Samantha Repka Emily Proehl Catie Armstrong Aparna Higgins Elizabeth Kasper Leonard A. Croom Janelle White Hilary Campbell Robert S. Saunders

    Many health providers are interested in making the shift to value-based payment (VBP), as these models can give greater flexibility in providing whole-person care, but administrative burden, variation in payer contracts, and a rapidly changing policy environment can impede their participation and success in these models. Streamlining the administration of payment models and adding supports like data sharing across payers and providers can make it easier for organizations by enabling more flexibility in care delivery, timely access to actionable information, and increased support for the health care workforce. More

  • Health Care Affordability

    State Health Care Cost Growth Targets: Moving from Aspiration to Evidence to Action

    June 2025 Mary Louise Gilburg

    In a new Health Affairs Forefront article, Milbank Memorial Fund president Christopher Koller discusses the role of health care cost growth target programs in spurring policy change to lower cost growth. More

  • Health Care Affordability

    Standardized Health Spending Analytic Definitions and Methods: Cross-State Collaboration Leads to Stronger Results

    June 2025 Jessica Mar Sarah Kinsler

    In 2024 and 2025, Bailit Health convened two work groups to establish consensus definitions and methodologies for health care spending analyses with support from the Peterson-Milbank Program for Sustainable Health Care Costs. More