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  • 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

  • State Strategies for the Rural Health Transformation Program (RHTP): A Milbank State Leadership Network Convening Recap

    Fact Sheet Milbank State Leadership Network State Health Policy Leadership

    State Strategies for the Rural Health Transformation Program (RHTP): A Milbank State Leadership Network Convening Recap

    October 2025 Sofia Espinosa Mary Louise Gilburg Morgan McDonald

    The Milbank State Leadership Network (MSLN) hosted two virtual sessions for state-to-state discussion on opportunities and strategies related to the federal Rural Health Transformation (RHT) Program, recently launched by the Centers for Medicare & Medicaid Services (CMS). More

  • Population Health Public Health

    You Serve at the Pleasure of the President: As Such You are No Longer Wanted or Needed

    October 2025 Lawrence O. Gostin

    Throughout my career, I have chaired and been a member of countless scientific and health policy advisory committees for the federal… More

  • Making Data Work: Collecting Better Health Care Workforce Data to Inform State Policy and Planning

    Report Milbank State Leadership Network State Health Policy Leadership

    Making Data Work: Collecting Better Health Care Workforce Data to Inform State Policy and Planning

    October 2025 Emily Levi Mary Jo Condon Janice Bourgault

    This policy brief provides an overview of opportunities to improve state health care workforce data collection and analysis. More

  • Public Health

    Fluoride in Drinking Water (and Our Brains)

    October 2025 Dalton Conley

    Almost 28 years ago, I became a young, new father. Too young by a couple months, actually, since my daughter was born prematurely. During her… More