The Milbank Memorial Fund’s Top 10 Articles of 2019

A list of our 10 most-read publications of the year points to several pressing issues facing policymakers, including developing strategies for managing high health care costs, understanding the impact of the opioid crisis on children and families, and meeting the needs of residents of rural parts of the country as well as caregivers everywhere. Together the articles reflect our mission to improve population health by connecting leaders and decision makers with the best evidence and experience.

 

1. Primary Care, Not Palaces

Cruise down the East River in Manhattan and you may notice that the newest, largest, and most expensive high rises along the water belong to the medical-industrial complex, says Christopher F. Koller in his latest “View from Here” blog post. All over the US, in fact, many hospital administrators have become real estate moguls.

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2. The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families

Opioid addiction is well recognized as a national crisis, but its impact on children and adolescents whose parents are addicted has received little attention. This report, published by the United Hospital Fund (UHF), with support from the Milbank Memorial Fund and the Alfred P. Sloan Foundation, makes clear that the magnitude of the epidemic’s impact is much greater than realized.

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3. In Support of Family Caregivers: A Snapshot of Five States

In a new report cosponsored by The John A. Hartford Foundation and the Milbank Memorial Fund, Johns Hopkins Bloomberg School of Public Health researchers highlight five states—Washington, Hawaii, Maine, Minnesota, and Tennessee— that have advanced policies and programs in support of family caregivers.

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4. The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings

The rate of telehealth use, in which patients receive a virtual health care visit, in the home or other nonclinical setting, has outpaced the release of research about this model of care. As a result, state agencies are developing new policies for home-based telehealth services with little evidence to guide them. This brief identifies key findings for state officials considering such policies.

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5. Health Care Costs—Mapping the Forest and Finding a Path

Health care costs comprise an expansive and poorly mapped forest. There are plenty of fearful features to the wilderness, including rising pharmaceutical costs, consolidating providers, multiplying administrators, aging populations, chronic diseases, and poor health behaviors. Different regions—Medicare, Medicaid, and private health insurance—evoke different and conflicting concerns and fears.

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6. “We feel pretty lucky.”

In his latest “View from Here” blog post, Milbank Memorial Fund President Christopher Koller describes a recent evening spent at a music- and conversation-rich local fundraiser organized to cover the medical expenses of a community member.

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7. “Deaths of Despair” – Prevention for a Growing Crisis

I teach a public health course on the US health system. As the grizzled realist in the room, I remind my bright-eyed “public healthers” that being right is not the same as being effective. That while an ounce of prevention really is worth a pound of cure, it is not enough to hector the rest of us constantly. And that to make prevention efforts work, they have to understand where all the money is in health care and how it got there.

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8. How Community Health Centers Are Addressing the Opioid Epidemic

Last month, the Milbank Memorial Fund and the United Hospital Fund released a report, The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families, which made clear that the magnitude of the epidemic’s impact is much greater than realized. This case study, a companion to the report, explores how community health centers are addressing the opioid epidemic.

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9. How Can Employers and Government Control Rising Hospital Prices? A Conversation with Robert Galvin and Robert Murray

To explore what employers and regulators can do about rapidly rising health provider prices and debate the most effective policies, Los Angeles Times journalist Noam N. Levey sat down with Dr. Robert Galvin, CEO of Equity Healthcare and an operating partner at Blackstone, and Robert Murray, the former executive director of the Maryland Health Services Cost Review Commission.

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10. Supporting Rural Health: Practical Solutions for State Policymakers

Many health care challenges are exacerbated in rural areas, such as limited access to services, provider shortages, and the prevalence of avoidable deaths from chronic disease and substance use disorders. These trends are significant enough to affect overall health status measures for the nation, while deeply affecting these communities. This issue brief summarizes information presented at three Milbank Memorial Fund-supported regional meetings of federal and state health officials and health services researchers working on rural health issues.

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