Topics of Interest to States

Topics of Interest to States

The Milbank Memorial Fund responds to the needs of states in areas where the evidence is strong and the practice is weak.
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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 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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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.

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Latest Publication

How Healthy Are Baby Boomers?

Milbank Quarterly study by Canadian researchers refutes the conventional wisdom that baby boomers are (and will remain) healthier than previous generations.

Read the press release   Read the study

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

New Report: States Take on Total Cost of Care Measurement

Dollars spent on health care are dollars not available for other uses. Understanding the rate at which costs are growing—and the growth rate the economy can bear—is important for the financial health of any state. A new Milbank Memorial Fund report, “State Models for Health Care Cost Measurement: A Policy and Operational Framework,” looks at total cost of care measurement activities in four states, their rates of increase over time, and the policy priorities in each state that are driving the activity.

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New Issue Brief: Population Health in Medicaid Delivery System Reforms

Everyone is talking about "population health" these days. And increasingly, states are looking at ways to incorporate population health goals into delivery system reform. An issue brief published by the Milbank Memorial Fund looks at how accountable care collaboratives, including Medicaid accountable care organizations (ACOs) or other ACO-like models, offer opportunities for states to do this.

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View From Here

Christopher F. Koller
President of the
Milbank Memorial Fund


No Longer Trying to Have it Both Ways: Measuring Total Health Care Costs

Welcome to health care’s economic wonderland:

  “Health care costs are killing employers and the government budget.”
  “Health care jobs are the key to our economic recovery.”
  “We want to lure more high-paying biotech jobs into our community.”

These contradictory statements often peacefully coexist in the magical reality of this wonderland. When I was health insurance commissioner in Rhode Island, the same leaders who urged me to deny rate increases to insurers also championed any growth in health care jobs and vied to attend the next ribbon-cutting ceremony for a hospital expansion.

A few states, though, are trying to create a new reality, changing the way health care is provided and paid for.

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