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The Triple Aim—What Works?

A new Milbank Quarterly study by the Institute for Healthcare Improvement team that developed the framework looks at organizations that have pursued the Triple Aim—and what's needed for successful implementation.
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From The Milbank Quarterly

Our Op-Ed section features some of the best minds currently working to improve the public's health. Learn more about our op-ed writers by clicking on their photos.
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Our History

Founded in 1905, the Milbank Memorial Fund is one of the oldest foundations in the country with a long tradition of improving policy and practice in health.
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Bringing State Leaders Together

The Reforming States Group (RSG), a bipartisan group of state health policy leaders from the executive and legislative branch, work on solutions to problems in health care.

Learn about the RSG

Ronald Bayer Jonathan Cohn Catherie D. DeAngelis Lawrence O. Gostin David A. Kinding Sara Rosenbaum David Rosner Joshua M. Sharfstein Gail R. Wilensky

Milbank Quarterly Online Exclusive: Sara Rosenbaum on King v Burwell Ruling

"Congress Passed the Affordable Care Act to Improve Health Insurance Markets,
Not to Destroy Them"

June 26, 2015

Chief Justice John Roberts’ opinion in King v Burwell, which upholds health insurance subsidies for all eligible Americans regardless of where they live, virtually ends with the sentence quoted in the title of this essay. It is a declaration that brings to a close a 4-year epic journey of litigation designed to bring down the Affordable Care Act (ACA).

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Primary Care Transformation: Ten Lessons for the Path Forward

June 26, 2015

What fosters sustainable primary care transformation? What stands in the way? These questions are the focus of a Rocky Mountain Health Plans’ Issue Brief that highlights the work of the Milbank Memorial Fund’s Multi-State Collaborative (MC). Lisa Dulsky Watkins, MD, the Director of the MC—and three other experts with first-hand experience working with states—were interviewed and identified 10 lessons for achieving comprehensive primary care transformation.

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Reforming States Group Remembers Rev. Clementa Pinckney

June 18, 2015

The Fund joins many others in expressing regret and outrage at the murder of Rev. Clementa Pinckney and eight of his fellow parishioners as they prayed inside Emmanuel African Methodist Episcopal Church in Charleston, South Carolina, last night. The Fund remembers Rev. Pinckney, who attended a Reforming States Group meeting.

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Supported State-Based Marketplaces: The Point of Convergence?

Is a supported state-based health insurance marketplace a match made in heaven for states implementing the Affordable Care Act? That’s the question Christopher Koller, President of the Milbank Memorial Fund, answers in a new blog post in Health Affairs.

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Mark Gibson Retires

Mark Gibson, a program officer at the Milbank Memorial Fund since 2003 and co-director of the Center for Evidence-based Policy at Oregon Health and Science University, retired this June. Prior to his work with the Fund and the Center, Mark served as chief of staff to the Oregon Senate president and health policy advisor to the Oregon governor. He was also a founding member and co-chair of the Reforming States Group (RSG).

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View From Here

Christopher F. Koller
President of the
Milbank Memorial Fund

“Oh, Baltimore. Man, It's Hard Just to Live”

Randy Newman had it right 28 years ago and today—judging from recent events in Baltimore. Riots tore apart the city at the end of April in the wake of Freddie Gray’s death in police custody, and the after-effects continue to ripple. Homicides in May of this year were 50% higher than May of last year driven, some say, by the large amounts of drugs in circulation looted from 27 pharmacies and two methadone clinics during the riots.

In the weeks after the riots, commentators pointed to the many health disparities in the West Baltimore neighborhood compared to other Baltimore neighborhoods, let alone wealthier suburban neighbors. The renewed attention on health disparities provides an opportunity for people who work in health care and population health to think about what it means to ensure that individuals, communities, and societies are healthy.