The States of Health

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

Keyword

Focus Area

  • 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

  • A Framework for Evaluating Primary Care Investment

    March 2026 Kevin Grumbach,  Deborah J. Cohen,  Stephanie B. Gold,  Rebecca S. Etz,  Lauren S. Hughes ,  Robert L. Phillips,  Andrew Bazemore,  Elisabeth Wilson,  Russell S. Phillips, 

    Despite a robust body of evidence demonstrating that strong primary care is foundational to a high-performing health system associated with improved…  More

  • Addressing Unmet Health Care Needs Through Insurance Benefit Design: Challenges and Opportunities

    March 2026 Cori E. Uccello,  Annette James,  Rebecca A. Sheppard,  Sara Teppema, 

    Public programs have increasingly sought to address health-related social needs that create barriers to care and health disparities and drive health care costs. For instance, several state Medicaid programs now cover medically tailored meals, housing supports, and non-emergency transportation through managed care and demonstration waivers.   More

  • Integrating State Data to Promote Evidence-Based Policy: The New Jersey Integrated Population Health Data (iPHD) Project

    March 2026 Margaret Koller,  Joe Brecht, 

    Which pregnant women are most likely to rely on emergency department care, and how can they be better served? How did COVID-19 affect birth outcomes, and what would support improvements in future infectious disease outbreaks? These and other questions can be answered with existing state data when these data are integrated.  More