The States of Health

Short takes on health policy issues from Milbank staff and guest authors.

Keyword

Focus Area

  • How States Can Leverage Medicaid Family Planning Programs to Keep People Covered Following HR 1 Implementation

    October 2026 Kira Eidson Phillips, 

    States working to mitigate Medicaid coverage loss associated with HR 1 can incorporate Medicaid Family Planning Program (MFPP) coverage into their strategies by making MFPP enrollment easy, expanding covered services, and ensuring patients know how and where to use their coverage.  More

  • Policy Pathways to Support NP-Owned Primary Care Practices in Rural Areas

    October 2026 Monica O’Reilly-Jacob,  Jennifer Perloff, 

    In this post, we highlight the nurse practitioner practice owners’ unique contributions and challenges in providing primary care in rural areas. We offer state policy recommendations to support rural NP-owned practices, including leveraging funds from the Rural Health Transformation Program.  More

  • Data That Can Drive Primary Care Investment

    September 2026 Aamir Mansoor,  Joe Telano, 

    A new report from the Primary Care Development Corporation (PCDC), developed with input from the Primary Care Investment Network (PCIN), examines how states are using APCD and other data strategies to advance primary care investment.   More

  • Building a Robust Primary Care Workforce: Diffusing Lessons Across States

    September 2026 Erin Fraher,  Andreas Stomby, 

    In the absence of a national health workforce strategy in the United States, individual states, including Missouri, North Carolina, and Wisconsin, have developed and implemented state-level graduate medical education (GME) strategies to “grow their own” primary care workforce. The challenge will be diffusing the lessons learned from their efforts across states.  More

  • Policies Are Needed to Support an Essential Health Workforce: Midwives

    August 2026 Michelle Munroe,  Peter Johnson, 

    More than 2.3 million women of reproductive age live in maternity care deserts — counties with no hospitals offering obstetric care and no OB-GYN or certified nurse-midwife in practice.  More

  • State-Level Impacts of OBBBA Provisions: A Data Dashboard

    August 2026 Pantelis Paliouras, 

    Using estimates from RAND Health, our new Data Dashboard shows at a high level how state Medicaid funds will be affected by changes in the One Big Beautiful Bill.  More

  • Bake Sales Won’t Sustain Wyoming EMS, but a Few Reforms Might

    July 2026 Franz Fuchs,  Morgan McDonald, 

    Emergency medical services (EMS) are basic lifesaving infrastructure for any community.  More

  • Sustaining Universal, Preventive-Centered Care Through Neighborhood Nursing

    June 2026 André Nogueira,  Natalia Barolín,  Sarah Szanton, 

    The fragmented multi-payer system in the United States creates powerful disincentives against the evidence-based interventions most likely to improve health and control costs: universal, prevention-centered care delivered where people live, work, and gather.  More

  • Addressing the Opioid Epidemic in the Bronx Through New Forms of Accountability

    June 2026 Michelle Morse,  Robert Rock, 

    When studying heat maps produced by the New York City Department of Health and Mental Hygiene Department, and digging into the endless tables of data…  More

  • Why Preventive Care Still Struggles Financially—Even in Value-Based Care

    May 2026 Justin Frazer, 

    For more than a decade, US health policy has been moving toward value-based care, or paying for health outcomes rather than the number of services delivered. And yet, even within many value-based models, preventive care often remains financially difficult to sustain.  More