Behavioral Health Integration

Total Cost of Care Measurement

In this new report, four states take on total cost of care measurement. Find out about the pioneering strategies these states used to limit the rate of health care cost growth.
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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 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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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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Job Opportunity: Program Officer at the Milbank Memorial Fund and Center for Evidence-based Policy

The Milbank Memorial Fund in New York City and the Center for Evidence-based Policy in Portland, Oregon, are seeking a motivated and innovative leader with experience in Medicaid and/or other state health-related policy programs for a joint appointment. This shared Program Officer position will promote the mutual missions of the two organizations—advancing state policy and improving population health with the use of evidence—by overseeing existing shared projects and identifying new opportunities to meet the evidence needs of state health policy leaders.

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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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The Milbank Quarterly's Top Five Articles for 2014

The Milbank Quarterly and Wiley are pleased to announce the journal’s  top five, most-read articles in 2014. These five articles are available free to all readers until March 31.

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Report: Engaging Self-Insured Employers in Multi-Payer Reform

The Milbank Memorial Fund and the Pacific Business Group on Health have released a report on four states at the forefront of efforts to coordinate value-based payment approaches across multiple payers. The report looks at the extent to which self-insured employers are participating—and ways to engage them.

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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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