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  • Creating a Physician Assistant Workforce That Represents All Communities

    April 2025 Bryant Rucker

    We need a more racially and ethnically diverse PA workforce to reflect the US patient population, But despite the significant increase in the number of PA graduates, there has been a steady decrease in Black graduates. Black representation began its decline as many PA programs transitioned to masters-level programs. According to the Physician Assistant Education Association (PAEA), 38 physician assistant schools had zero Black graduates and 16 schools had zero Hispanic graduates from 2019 to 2021. More

  • Report from the Frontlines of US Primary Care on the Impact of Recent Federal Policy Changes

    Issue Brief

    Report from the Frontlines of US Primary Care on the Impact of Recent Federal Policy Changes

    March 2025 Rebecca S. Etz Kevin Grumbach Larry A. Green Kurt C. Stange

    Primary care clinicians are a bellwether for the state of health care and health in the United States. With the Trump Administration moving at… More

  • Fact Sheet Milbank State Leadership Network

    Medicaid and Behavioral Health Policy with the National Conference of State Legislatures: Virtual Convening of Milbank State Leadership Network

    March 2025 Mary Louise Gilburg Sofia Espinosa

    The Milbank State Leadership Network hosted experts from the National Conference of State Legislatures (NCSL) to discuss state legislative approaches to Medicaid and behavioral health policy during the 2025 state legislative season. The conversation explored bipartisan approaches to strengthen coverage, address rising costs amid severe budget constraints, and, improve access to substance use disorder treatment and suicide prevention. More

  • Aging at Risk: The Impact of Medicaid Cuts on Older Adults

    State Health Policy Leadership

    Aging at Risk: The Impact of Medicaid Cuts on Older Adults

    March 2025 Sarita A. Mohanty Narda Ipakchi

    For decades, the program has connected lower-income older adults and people with disabilities to the kind of care that helps them live with independence and purpose. More

  • Americans Prioritize Strengthening Medicaid and Medicare

    Americans Prioritize Strengthening Medicaid and Medicare

    March 2025 Sarah Loch Elizabeth Mendes

    As Congress works toward passing a budget reconciliation plan, lawmakers are considering massive cuts in federal financing for programs that provide… More

  • U.S. Health and Human Services Department Secretary’s Postpartum Maternal Health Collaborative Convening, Part 2

    Report State Health Policy Leadership

    U.S. Health and Human Services Department Secretary’s Postpartum Maternal Health Collaborative Convening, Part 2

    March 2025 Sofia Espinosa Mary Louise Gilburg Morgan McDonald

    In collaboration with the U.S. Department of Health and Human Services (HHS), the Milbank Memorial Fund convened the second of two virtual meetings in support of the multi-state Secretary’s Postpartum Maternal Health Collaborative. More

  • Five States Leading Efforts to Increase Primary Care Spending

    Report Primary Care Transformation

    Five States Leading Efforts to Increase Primary Care Spending

    March 2025 Vida Foubister

    This series of profiles highlights five states that are in different stages of enacting and implementing primary care spending targets, including early planning and coalition building; active efforts to engage state policymakers; and implementation or revision of an enacted state policy. More

  • Bringing Balance to the Market: A Roadmap for Improving Health Insurance Affordability Through Rate Review

    Sustainable Health Care Costs

    Bringing Balance to the Market: A Roadmap for Improving Health Insurance Affordability Through Rate Review

    February 2025 Sabrina Corlette Karen Davenport

    Unsustainable increases in health care costs are leading to high rates of medical debt, sapping the vitality of small businesses, straining state budgets, and dampening wage growth. States have the power to help reduce health care costs, and several are pursuing policies to do so. More

  • A Real Gully Washer

    A Real Gully Washer

    February 2025 Christopher F. Koller

    The new federal administration is implementing its strategy of, as one if its puppet masters, Steve Bannon, likes to say, “flooding the zone.” Over the course of three weeks, it has released over 50 executive orders and taken administrative actions designed to abolish agencies, flush out a swath of the government workforce, and test the constitutional balance of powers. Collectively this is a real gully washer of executive branch activity. The state and local health officials that Milbank supports are leaders in the communities at the mouth of the gully who are dealing with all that is washing out to them. More

  • 2025 Primary Care Scorecard Dashboard

    2025 Primary Care Scorecard Dashboard

    February 2025

    Informed by the National Academies of Science Engineering and Medicine (NASEM) 2021 report on primary care and an advisory committee of key… More