Recommendations for Strengthening Global Health Security

Strengthening Global Health Security

A new Early View Milbank Quarterly study by Lawrence Gostin and Rebecca Katz evaluates the International Health Regulations and offers proposals for reform
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America’s ‘Lead Wars’

Flint, Michigan, isn’t the only place in America with a lead problem. David Rosner and Gerald Markowitz, authors of Lead Wars, a 2013 UC Press/Milbank Book, were interviewed on NPR’s Fresh Air.
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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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A Blueprint for Repair and Renovation of the ACA The Importance of Physicians' Financial Disclosure for the Public's Health A Tale of Two Diseases: Mental Illness and HIV/AIDS Clash of the Titans: State All-Payer Claims Reporting Systems Meet ERISA Preemption Courting Disaster: Environmental Justice and the US Court System Accountability for Health Meeting the ACA's Goals

REPORT: Investing in Social Services for States' Health: Identifying and Overcoming the Barriers

May 20, 2016

More and more attention is being paid to the social determinants of health—the conditions in which people are born, grow, work, live, and age, including factors such as income support, education, transportation, and housing—and their contribution to health and well-being. Despite all the evidence about how the factors affecting our health dwarf the impact of the health care we receive, it remains a challenge for state leaders to act. Why don’t state budgets reflect what we know about improving the health of populations? What are examples where, in spite of the barriers, these challenges are being overcome?

This report, written by Elizabeth Bradley, faculty director of the Yale Global Health Leadership Institute, and Erika Rogan, attempts to answer these questions. Based on focused discussions with state and local public health sector leaders, the report identifies the root causes for states not making overall budget and policy decisions that optimize their population’s health.

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Milbank Quarterly Online Exclusive: Sara Rosenbaum on The Affordable Care Act and the Courts—Again

May 18, 2016

In addition to voting more than 60 times to repeal the Affordable Care Act (ACA), the US House of Representatives in 2014 turned directly to the courts to stop the law. On May 12—after determining in 2015 that its challenge was not merely a political fight but instead one that raised true legal issues and therefore could proceed in court—federal judge Rosemary Collyer handed the House of Representatives a victory in House of Representatives v Burwell.

In her decision, Judge Collyer ruled that the Administration cannot make the cost-sharing payments it owes to marketplace health plans because Congress has never appropriated the funds necessary to make such payments on behalf of eligible policyholders. To understand why Judge Collyer's decision is so consequential, one needs to understand the operation of the ACA.

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REPORT: Evolving Models of Behavioral Health Integration,
Evidence Update 2010-2015

May 12, 2016

Behavioral health integration (BHI), the integration of primary care and behavioral health through the collaborative care management model, remains an approach to treatment that appears to improve the health outcomes for people with mental and medical disorders. Since 2010, when the Milbank Memorial Fund published its first BHI report, “Evolving Models of Behavioral Health Integration in Primary Care,” the field has advanced conceptually, and there has been a proliferation of research. This new report provides an updated scan of the literature over a five-year period (2010 to 2015), identifying changes and remaining gaps in the evidence. It also identifies resources to assist policymakers and health care planners in selecting, implementing, and sustaining BHI models.

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View From Here

Christopher F. Koller
President of the
Milbank Memorial Fund

Who is Responsible for Our Health?

If I die before my time, is it my fault? If I drank a lot of alcohol, drove too fast, didn’t wear a seat belt, and crashed—most would say yes, I had it coming. If I got hit by that driver while walking on the sidewalk, it would be a terrible tragedy.

What about groups of people who die early? This occurs more frequently in some parts of the country than in others. It is a lot tougher to be a male born in McDowell County, West Virginia, where life expectancy at birth is 62.5 years than in Santa Clara County, California, where life expectancy is 81.6 years. Whose responsibility is that?