Search Results

  • Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage

    Sep 26, 2018

    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. Read more

  • Population Health: The Translation of Research to Policy

    Sep 17, 2018

    These case studies use six diverse examples of science to policy translation generated by Robert Wood Johnson Health & Society Scholars in the HSS program from 2003 to 2016. Because the HSS program was discontinued in 2017, the Milbank Memorial Fund published these case studies in the hope that many audiences, including students, would use them to learn about the connection between research, decision making, and policy. Read more

  • Advanced Primary Care: A Key Contributor to Successful ACOs

    Aug 13, 2018

    Patient-centered medical homes (PCMHs) and accountable care organizations (ACOs) were often considered to be competing models for reforming health care delivery. Not now. It’s increasingly apparent that one helps the other. That’s the main finding from the Patient-Centered Primary Care Collaborative 2018 evidence report, the first study of its kind to look at how the role of advanced primary care, such as the PCMH, may contribute to the success or failure of ACOs. Read more

  • Three Projects Receive Inaugural State and Local Innovation Prize

    Jul 19, 2018

    In Chicago, they are preventing lead poisoning in young children. In Chatham County, Georgia, they are building a continuity of care system for jail inmates, and in Washington State, they are using multiple data sets to coordinate care for dual eligibles. Meet the winners of the inaugural Milbank Memorial Fund and AcademyHealth State and Local Innovation Prize. Read more

  • Bundling, Benchmarking, and Beyond: Paying for Value in Home- and Community-Based Services

    Jul 11, 2018

    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 services and supports (LTSS) in this country. But as public policy has shifted LTSS from institutional settings to home- and community-based settings, new questions arise for policymakers who want to know how Medicaid agencies measure the quality of … Read more

  • Behavioral Health Integration and Workforce Development

    May 23, 2018

    Providers, payers, and state policymakers are moving to implement behavioral health integration (BHI) models as evidence of their effectiveness builds. But many states face an obstacle—the lack of a health care workforce that has the legal authority, training, and skills necessary to practice in these new models. How can states accelerate the development of a BHI workforce? Read more

  • Views from the Heartland: Prospects for Bipartisanship in Health Reform

    Apr 26, 2018

    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? Read more

  • Creating An Age-Friendly Public Health System: Challenges, Opportunities, and Next Steps

    Mar 30, 2018

    This report summarizes an October 2017 meeting held by Trust for America’s Health, with support from the John A. Hartford Foundation, during which national, state, and local public health officials came together with aging experts, service providers and others to discuss how public health could contribute to an age-friendly society and improve the health and well-being of older Americans. The convening resulted in a Framework for an Age-Friendly Public Health System, which is described in the report. Read more

  • All for One and One for All: Developing Coordinated State Opioid Strategies

    Feb 22, 2018

    The opioid epidemic has spawned numerous state efforts to develop strategies to combat the crisis. While each strategy on its own may be worthwhile, effectively coordinating these efforts will likely prove to be the key to reducing the number of families and communities damaged by opioid abuse. Summarizing the critical experience of senior officials working on the crisis, this issue brief identifies the key ingredients in a coordinated state opioid strategy. Read more

  • Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States

    Dec 7, 2017

    Low-income adults who need and use long-term services and supports are among the most complex, expensive, and fast-growing populations covered by Medicaid. One of the greatest challenges state officials face is how to organize and pay for these services. This toolkit, written by Manatt Health and the Center for Health Care Strategies with support from the SCAN Foundation and the Milbank Memorial Fund, addresses these challenges. Read more