An "Epidemic" of Wrong or Misleading Research

New Milbank Quarterly study demonstrates how most systematic reviews and meta-analyses produced today are not useful.

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Evaluating the Quality of Medical Care

Evaluating the Quality of Medical Care

In a Milbank Quarterly Op-Ed, Donald Berwick and Daniel M. Fox put Donabedian’s work into historical perspective.
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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. 
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Our Mission

The Milbank Memorial Fund is an endowed operating foundation that works to improve the health of populations by connecting leaders and decision makers with the best available evidence and experience.
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Issue Brief: Coordinating Access to Services for Justice-Involved Populations

August 11, 2016

This issue brief, commissioned by the Reforming States Group and written by the Center for Health Care Strategies, examines how innovative players at the intersection of health and corrections are providing interventions to ensure access to physical and behavioral health services as justice-involved individuals transition into their communities. It provides examples from promising programs around the country, demonstrating ways in which states and local jurisdictions have improved health outcomes and reduced recidivism for the justice-involved.

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Milbank Quarterly Early View Op-Ed: John E. McDonough on How Democrats Might Try to Improve and Expand the ACA in 2017

July 26, 2016

With the Democratic Convention in full swing this week, there’s plenty of conversation about what the country might look like if the party captures the White House in November—including how the Democrats might try to improve and expand the Affordable Care Act (ACA) in 2017. That’s the question raised by John E. McDonough’s new Early View Op-Ed in which he examines four proposals to alter and expand the ACA. McDonough reviews the proposed policies of the Hillary Clinton presidential campaign, Families USA, Urban Institute, and The Century Foundation. He then asks if they would work and are politically feasible.

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Issue Brief: Medicaid Coverage of Social Interventions: A Road Map for States

July 25, 2016

Faced with mounting evidence about the importance of social factors—such as income, access to food and housing, and employment status—in determining health outcomes, state Medicaid officials are looking for ways to integrate services that address these factors into their coverage, payment, and delivery models. Medicaid can’t solve societal problems on its own, but federal regulations make it clear that it can be a partner in community efforts to address the social determinants of health—and this issue brief explains how.

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View From Here

Christopher F. Koller
President of the
Milbank Memorial Fund

Prescription for a Healthy Insurance Market

What does it take to have stable, competitive health insurance markets? I was recently asked this question by the Senate Homeland Security and Governmental Affairs Committee for a hearing on state and federal insurance marketplaces, 2017 insurance premiums, and insurer competition. As the nation’s first health insurance commissioner, serving in Rhode Island for eight years during the implementation of the Affordable Care Act, and as head of a Medicaid health plan before that, I have a bit of experience with this issue.

With so much attention on health plan decisions to exit health insurance exchanges and concerns about premium increases, the topic is particularly timely. Here is a summary of the testimony I submitted to the Committee.