Research

Transformation of the Health Care Industry: Curb Your Enthusiasm?

Research
Mar 1, 2018
Lawton Burns and Mark Pauly for Milbank Memorial Fund
Policymakers seek to transform the US health care system along two dimensions simultaneously: alternative payment models and new models of provider organization. This transformation is supposed to transfer risk to providers and make them more accountable for health care costs and quality.

Legal Barriers to the Growth of Health Information Exchange - Boulders or Pebbles?

Research
Mar 1, 2018
Michelle Mello, Julia Adler-Milstein, Karen Ding, and Lucia Savage for Milbank Memorial Fund
Today, health care providers’ complaints about legal obstacles to health information exchange (HIE) may be better understood as reflecting concerns about the economic and competitive risks of information sharing.

Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety

Research
Sep 1, 2018
Alex Gillespie and Tom Reader for Milbank Memorial Fund
Systematic analysis of health care complaints can improve quality and safety by providing patient-centered insights that localize issues and shed light on difficult-to-monitor problems.

Systems Thinking as a Framework for Analyzing Commercial Determinants of Health

Research
Sep 1, 2018
Milbank Memorial Fund
This article shows how a complex systems perspective may be used to analyze the commercial determinants of noncommunicable diseases (NCDs), and it explains how this can help with (1) conceptualizing the problem of NCDs and (2) developing effective policy interventions.

The Effect of Medicaid on Management of Depression: Evidence From the Oregon Health Insurance Experiment

Research
Mar 1, 2018
Katherine Baicker, Heidi Allen, Bill Wright, Sarah Taubman, and Amy Finkelstein for Milbank Memorial Fund
Medicaid coverage reduced the prevalence of undiagnosed depression by almost 50% and untreated depression by more than 60%. It increased use of medications and reduced the share of respondents reporting unmet mental health care needs by almost 40%.