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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Recommendations for Strengthening Global Health Security

Strengthening Global Health Security

A Milbank Quarterly study by Lawrence Gostin and Rebecca Katz evaluates the International Health Regulations and offers proposals for reform
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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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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
News

Milbank Quarterly Early View Article: Making It Safe to Grow Old

July 5, 2016

A new financial simulation for a novel model of care, called MediCaring Communities, has shown significant Medicare savings for frail older adults who need both medical care and nonmedical support services. In a new Early View Milbank Quarterly study, Joanne Lynn, director of Altarum Institute’s Center for Elder Care and Advanced Illness, and colleagues, found that the United States could provide much better care for disabled and sick elderly people without exceeding what we now spend.

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Addressing High-Cost Pharmaceutical Drugs

June 24, 2016

As the end of the month approaches, so does the end of phase one of SMART-D, the State Medicaid Alternative Reimbursement and Purchasing Test for High-Cost Drugs. A project of the Center for Evidence-based Policy (CEbP) at Oregon Health and Science University, SMART-D is part of a series of grants from the Laura and John Arnold Foundation in Houston, Texas, that address the rising cost of pharmaceutical drugs. SMART-D is aimed at developing a better menu of options for states to consider in purchasing high-cost drugs in Medicaid.

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REPORT: How Can States Support an Aging Population? Actions Policymakers
Can Take

June 8, 2016

It is projected that by 2050, 83.7 million Americans will be over the age of 65, almost double the number who were that age in 2012. During its fall 2015 meetings, the Milbank Memorial Fund’s Reforming States Group turned its attention to the topic, partnering with The New York Academy of Medicine to develop sessions focused on some of the major challenges and opportunities facing states as they look at ways to support an aging population.

The new report, “How Can States Support an Aging Population? Actions Policymakers Can Take,” by Lindsay Goldman and Robert Wolf of the New York Academy of Medicine, provides a review of the issues discussed at the meetings, as well as recommendations for state policy interventions.

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View From Here

Christopher F. Koller
President of the
Milbank Memorial Fund

Evolving Hepatitis C Drug Coverage Policies: Seeing the Bigger Story

With threats of lawsuits and pressure from government officials, some payers appear to be relaxing their coverage guidelines for expensive direct-acting antiviral drugs (DAAs), including drugs for Hepatitis C. The benefits that increased access to these drugs provide to patients with Hepatitis C—and to the drugs’ manufacturers and investors—will come at the expense of state budgets and, more importantly, broader discussions about matching demand for health care services to limited resources.