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  • 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

  • How Did Medicaid’s 1115 Substance Use Disorder Waivers Increase Medication Treatment for Opioid Use Disorder? Evidence From Eight Waiver States

    Health Care Practice / Quality Opioid Use Disorder

    How Did Medicaid’s 1115 Substance Use Disorder Waivers Increase Medication Treatment for Opioid Use Disorder? Evidence From Eight Waiver States

    October 2025 STEPHAN R. LINDNER JENNIFER HALL BRYNNA MANIBUSAN JORDAN BYERS KYLE HART ANDREA BARON Dennis McCarty K. John McConnell Deborah J. Cohen

    Starting in 2015, states could apply for section 1115 substance use disorder (SUD) waivers to strengthen their continuum of care for treatment of opioid use disorder (OUD). Prior research found substantial variation in changes to medication use for OUD associated with waiver implementation. The objective of this study was to identify strategies that states undertook as part of their waivers that were associated with increases in methadone and buprenorphine treatment in eight waiver states (Indiana, Louisiana, New Hampshire, New Jersey, Pennsylvania, Virginia, Washington, and West Virginia). More

  • Health Equity Reproductive Health

    The Impact of Restrictive State Abortion Laws: State of the Research Evidence in 2025

    October 2025 Paula M. Lantz

    Despite the dynamic and multidimensional nature of the legal landscape for abortion, the negative effects of restrictive state abortion policies are beginning to emerge. More

  • Health Care Affordability

    Ensuring State Health Care Affordability Strategies Work for All

    October 2025 Erin Taylor Matthew Reynolds

    This post describes ways states can safeguard and promote health equity alongside their efforts to make health care more affordable, particularly for those who bear the greatest burden of high and rising health care costs. The post identifies four overarching approaches states can take. More

  • Staying On the Right Side of the (Public Health) Road

    State Health Policy Leadership

    Staying On the Right Side of the (Public Health) Road

    October 2025 Christopher F. Koller

    in a new View from Here, Milbank Memorial Fund President Christopher Koller discussed the breakdown in the “rules of the road” that has led to declining vaccination rates among children. More