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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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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.
A Milbank Quarterly study shows that the discrimination experienced by gender minority people in public settings like bathrooms and health care facilities results in adverse health outcomes.
November 10, 2015
In a geographic region whose residents experience the nation's highest poverty rates and the greatest health risks, Kentucky has been a leader in the expansion of the Affordable Care Act (ACA). In 2013, the state's Medicaid program covered only about 600,000 people and excluded many nearly poor nonelderly adults. By August 2015, Medicaid insured more than 1.1 million residents, about one-quarter of the state's population. But Medicaid's extraordinary feat in transforming health coverage in Kentucky may not last. Matt Bevin was elected the next governor of Kentucky on November 3. Under the ironic headline “Improving Kentucky Health Care,” candidate Bevin's “Blueprint for a Better Kentucky” promised to repeal the Medicaid expansion as unaffordable.
Whether those who gained Medicaid under the ACA will be able to keep it likely depends on an intricate, closely watched dance between Kentucky and the Obama administration that will begin in early 2016.
November 4, 2015
The buzzword in health care is value. From Medicare to the nation's largest health care systems and payers, plans are underway to tie some portion of fee-for-service payments to value-based payment models. But how should value in health care be defined?
As the health care environment moves incrementally away from volume-based to value-based reimbursement, it is important to reflect on the meaning of the value equation and how best to maximize what we receive from health care based on what we invest in it. In this MQ Online Exclusive, Anand K. Parekh, a senior advisor at the Bipartisan Policy Center, suggests two approaches to the value equation, one geared toward the numerator and the second toward the denominator, that could help accelerate our progress toward a greater quotient.
October 14, 2015
There wasn’t much talk about health care at last night’s Democratic presidential candidate debate. But Hillary Rodham Clinton has outlined a set of “fixes” for the Affordable Care Act (ACA) that she would make as president. And Jeb Bush has just announced plans to repeal and replace the ACA.
Talk of ripping out the law, rolling it back, and rescuing Americans from government mandates has obscured a quiet evolution that has transformed the political landscape around health policy and presented an opportunity to move past the Obamacare wars. Negotiators could build on a set of health policy principles that Democrats and Republicans share yet have often overlooked in the din of political battle.Read more
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Christopher F. Koller
President of the
Milbank Memorial Fund
Few policies intended to help people live longer are more effective than those targeting teen pregnancy rates. Yet even when those policies work, they are fraught with controversy and conflict. A look at what’s currently going on in Colorado demonstrates some of the challenges in addressing the social determinants of health.
This fall, with the help of the Colorado Health Institute, members of the Milbank Memorial Fund’s Reforming States Group (RSG) examined the Colorado Initiative, a multi-year, multi-faceted effort to reduce unintended pregnancies. Policy interventions that address non-health care determinants are often complex, usually rely on private sector partnerships, and may conflict with societal values. That was exactly what we found in Colorado.