Milbank Reports

Milbank Reports examine the significance of and evidence to address single or closely related issues in health care. Notable reports have addressed, for instance, long-term care for the elderly, the future of academic medicine, emergency preparedness, and evolving models of integrating behavioral health and primary care. These reports are evaluated in draft by decision makers and practitioners in health care and public health as well as by researchers. Reports have frequently emerged from conversations and meetings with decision makers.

Aligning Payers and Practices to Transform Primary Care: A Report From the Multi-State Collaborative   Bookmark and Share

August 14, 2014

We are learning two things about restructuring health care in the United States in the post-Affordable Care Act (ACA) environment: Primary care transformation is essential to a well-performing health care delivery system and payment reform works best when it is consistent across payers.

These things are easier said than done, but the evidence and experience indicate they are possible. A Milbank Memorial Fund report, “Aligning Payers and Practices to Transform Primary Care: A Report from the Multi-State Collaborative,” describes the efforts in states to take on these challenges.

The report details the experiences of the Multi-State Collaborative (MC), a voluntary group composed of representatives of state-based, multi-payer primary care transformation initiatives that are themselves collaborations between payers, providers, employers and state officials. With support from the Milbank Memorial Fund since 2009, the MC has provided a forum for member states to share data, participate in collaborative learning, and advocate for improved collaboration between the states and the federal government on primary care transformation. The report, which is based on a 2013 observational survey of the MC states and interviews with their leaders, looks at the similarities and differences in the activities of each state.

The implementation of the ACA may have focused much attention on insurance provisions, but the real challenges and opportunities for health reform lie in improving the performance of the medical care delivery system. The lessons learned here have implications not only for primary care transformation, but also for state-convened provider payment reform initiatives and any effort at health care transformation requiring alignment across multiple payers.

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Health Worker Shortages and Global Justice   Bookmark and Share
Paula O'Brien and Lawrence O. Gostin
2011

 

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Evolving Models of Behavioral Health Integration in Primary Care    Bookmark and Share
Chris Collins, Denise Levis Hewson, Richard Munger, and Torlen Wade
2010
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Better Health, Not Just Better Health Care:
A Prescription for Progress from the Big Cities Health Coalition
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David Kohn
2009 
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Healthy States/Healthy Nation:
Essays for a New Administration and a New Congress
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Members of the Reforming States Group
Co-published with the Reforming States Group

2009 
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Evidence-Based Maternity Care:
What It Is and What It Can Achieve
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Carol Sakala and Maureen P. Corry
Co-published with Childbirth Connection and the Reforming States Group

2008
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Medical Regulatory Authorities and the Quality of Medical Services in Canada and the United States   Bookmark and Share
Co-published with the Federation of Medical Regulatory Authorities of Canada and the Federation of State Medical Boards
2008 
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Improving Population Health: The Uses of Systematic Reviews   Bookmark and Share
Melissa Sweet and Ray Moynihan
Produced in Collaboration with the Centers for Disease Control and Prevention (CDC)

2007 
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Regulating Medical Services in China   Bookmark and Share
Hong Wang, Yanfeng Ge, and Sen Gong
Co-published with the Department of Social Development, Development Research Center (DRC), the State Council of P.R. China

2007 
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Public Housing and Supportive Services for the Frail Elderly:
A Guide for Housing Authorities and Their Collaborators
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Co-published with the Council of Large Public Housing Authorities
2006 
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2005 Robert H. Ebert Memorial Lecture
Emerging and Re-emerging Infectious Diseases:
The Perpetual Challenge
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Anthony S. Fauci
2006 
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The Future of Academic Medicine:
Five Scenarios to 2025
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The International Campaign to Revitalise Academic Medicine
2005 
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2002–2003 State Health Expenditure Report   Bookmark and Share
Co-published with the National Association of State Budget Officers and the Reforming States Group
2005
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2003 Robert H. Ebert Memorial Lecture
A Revisionist View of the Integrated Academic Health Center
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Judith Rodin
2005 
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Using Health Research in Policy and Practice:
Case Studies from Nine Countries
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Ray Moynihan
Co-Published with AcademyHealth

2004 
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Evidence-Based Mental Health Treatments and Services:
Examples to Inform Public Policy
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Anthony F. Lehman, Howard H. Goldman, Lisa B. Dixon, and Rachel Churchill
2004 
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Emergency Preparedness, Bioterrorism, and the States:
The First Two Years after September 11
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Gerald Markowitz and David Rosner
2004 
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Addressing the HIV/AIDS Pandemic:
A U.S. Global AIDS Strategy for the Long Term
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Co-published with the Council on Foreign Relations
2004
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Evaluating Health Services: A Reporter Covers the Science of Research Synthesis   Bookmark and Share
Ray Moynihan
2004
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Making Sense of the System: How States Can Use Health Workforce Policies to Increase Access and Improve Quality of Care   Bookmark and Share
Edward Salsberg
Co-published with the Reforming States Group
2003 
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Food Safety Updated: Developing Tools for a More Science- and Risk-Based Approach   Bookmark and Share
Michael R. Taylor, Margaret O'K. Glavin, J. Glenn Morris, Jr., and Catherine E. Woteki
Co-published with Resources for the Future

2003 
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Implementing the Resident Assessment Instrument:
Case Studies of Policymaking for Long-Term Care in Eight Countries
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2003 
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September 11 and the Shifting Priorities of Public and Population Health in New York   Bookmark and Share
David Rosner and Gerald Markowitz
2003 
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2000–2001 State Health Care Expenditure Report   Bookmark and Share
Co-published with the National Association of State Budget Officers and the Reforming States Group
2003 
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Rebalancing Long-Term Care in New Jersey:
From Institutional toward Home and Community Care
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Susan C. Reinhard and Charles J. Fahey
2003
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Proactive Hazard Analysis and Health Care Policy   Bookmark and Share
John E. McDonough
Co-published with ECRI

2002 
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Achieving Better Health Outcomes:
The Oregon Benchmark Experience
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Howard M. Leichter and Jeffrey Tryens
2002 
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2001 Robert H. Ebert Memorial Lecture
Health Care Quality and How to Achieve It
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Kenneth I. Shine
2002 
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Value Purchasers in Health Care: Seven Case Studies   Bookmark and Share
2001 
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Health Policies for the 21st Century:
Challenges and Recommendations for the U.S. Department of Health and Human Services
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Jo Ivey Boufford and Philip R. Lee
2001 
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Informing Judgment: Case Studies of Health Policy and Research in Six Countries   Bookmark and Share
Co-published with the Cochrane Collaboration
2001 
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Conflict and Violence in the Food Safety Workplace   Bookmark and Share
2001 
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Why Health Is Important to U.S. Foreign Policy   Bookmark and Share
Jordan S. Kassalow
Co-published with the Council on Foreign Relations

2001 
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1998–1999 State Health Care Expenditure Report   Bookmark and Share
Co-published with the National Association of State Budget Officers and the Reforming States Group
2001 
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When Care Becomes A Burden: Diminishing Access to Adequate Nursing   Bookmark and Share
Claire M. Fagin
2001 
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The Origins and Implementation of BadgerCare: Wisconsin's Experience with the State Children's Health Insurance Program (SCHIP)   Bookmark and Share
Coimbra Sirica
2001 
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Accountability through Information: What the Health Care Industry Can Learn from Securities Regulation   Bookmark and Share
William M. Sage
2000 
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Pioneer Programs in Palliative Care: Nine Case Studies   Bookmark and Share
Co-published with the Robert Wood Johnson Foundation
2000 
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The Education of Medical Students: Ten Stories of Curriculum Change   Bookmark and Share
Co-published with the Association of American Medical Colleges
2000 
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Long-Term Care for the Elderly with Disabilities: Current Policy, Emerging Trends, and Implications for the Twenty-First Century   Bookmark and Share
Robyn I. Stone
2000 
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Better Information, Better Outcomes: The Use of Health Technology Assessment and Clinical Effectiveness Data in Health Care Purchasing Decisions in the United Kingdom and the United States   Bookmark and Share
2000 
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Genetics in Medicine: Real Promises, Unreal Expectations. One Scientist's Advice to Policymakers in the United Kingdom and the United States   Bookmark and Share
Steve Jones
2000 
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Towards an International Consensus on Policy for Long-Term Care of the Ageing   Bookmark and Share
Co-published with the Ageing and Health Programme of the World Health Organization
2000 
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Effective Public Management of Mental Health Care:
Views from States on Medicaid Reforms That Enhance Service Integration and Accountability
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Co-published with the Bazelon Center for Mental Health Law
2000 
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Principles for Care of Patients at the End of Life: An Emerging Consensus among the Specialties of Medicine   Bookmark and Share
Christine K. Cassel and Kathleen M. Foley
1999 
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1999 Robert H. Ebert Memorial Lecture
Understanding Health Behavior and Speaking Out on the Uninsured: Two Leadership Opportunities
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Steven A. Schroeder
1999 
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Tracking State Oversight of Managed Care   Bookmark and Share
Co-published with the Reforming States Group
1999 
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Toward Safer Schools and Healthier Communities:
The Resolving Conflict Creatively Program in Lincoln County, Oregon
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Co-published with the Educators for Social Responsibility
1999 
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Pediatric Dental Care in CHIP and Medicaid:
Paying for What Kids Need, Getting Value for State Payments
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Co-published with the Reforming States Group
1999 
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Patients as Effective Collaborators in Managing Chronic Conditions   Bookmark and Share
Co-published with the Center for the Advancement of Health
1999 
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The Health Sector and Y2K:
The Status of Preparation in the New York-New Jersey-Connecticut Metropolitan Area
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Alan L. Otten
Co-published with the Regional Plan Association

1999 
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Public-Private Collaboration in Health Information Policy   Bookmark and Share
Co-published with the Reforming States Group
1999 
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New Foundations in Health:
Six Stories
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1999 
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1997 State Health Care Expenditure Report   Bookmark and Share
Co-published with the National Association of State Budget Officers and the Reforming States Group
1999 
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Partners in Community Health: Working Together for a Healthy New York 1998   Bookmark and Share
Co-published with the New York State Community Health Partnership
1999 
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Converting and Merging Hospitals: Trustees Talk to Each Other   Bookmark and Share
Harry Nelson and Ann F. Monroe
Co-published with the Health Research and Educational Trust
1999 
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End-of-Life Care and Hospital Legal Counsel   Bookmark and Share
Connie Zuckerman with an introduction by Robert A. Burt and Christine K. Cassel
Co-published with the United Hospital Fund
1999 
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Mental Health Parity: What Can It Accomplish in a Market Dominated by Managed Care?   Bookmark and Share
Alan L. Otten
1998 
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Enhancing the Accountability of Alternative Medicine   Bookmark and Share
1998 
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Expanding Health Coverage for Children:
Matching Federal Policies and State Strategies
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Kay A. Johnson and John E. McDonough
Co-published with the Reforming States Group
1998 
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Improving State Law to Prevent and Treat Infectious Disease   Bookmark and Share
Lawrence O. Gostin, Scott Burris, Zita Lazzarini, and Kathleen Maguire
1998 
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Preventing Violence Against Women and Children   Bookmark and Share
Ronald B. Taylor
1998 
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1997 Robert H. Ebert Memorial Lecture   Bookmark and Share
Robert H. Ebert: An Appreciation
Eli Ginzberg
Deans and Deaning in a Changing World
Robert G. Petersdorf
1997 
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The Public Interest in Conversions of Nonprofit Health Charities   Bookmark and Share
Judith E. Bell, Harry M. Snyder, and Christine C. Tien
Co-published with Consumers Union
1997 
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Nonprofit and For-Profit HMOs: Converging Practices but Different Goals?   Bookmark and Share
Harry Nelson
1997 
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Perinatal Practice in the Best Interest of Patients:
Four Statements of Policy to Improve the Outcome of Pregnancy   Bookmark and Share
Co-published with the March of Dimes Birth Defects Foundation
1997 
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Time Enough? States Respond to Term Limits   Bookmark and Share
Co-published with the National Conference of State Legislatures
1997 
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State Oversight of Integrated Health Systems   Bookmark and Share
Co-published with the Reforming States Group
1997 
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Linking Housing and Health Services for Older Persons   Bookmark and Share
Co-published with the American Association of Homes and Services for the Aging
1997 
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Governing Health Systems: Ten Stories   Bookmark and Share
Co-published with the Hospital Research and Educational Trust
1997 
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Managing Fragmented Public Mental Health Services   Bookmark and Share
Richard G. Frank and Laura L. Morlock with an introduction by Richard C. Surles
1997 
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What Is Appropriate Care for the Children of Troubled Families?   Bookmark and Share
Harry Nelson
1996 
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Pension Portability for State and Local Government   Bookmark and Share
Gary I. Gates with introductions by Michael Wagner and David M. Walker
1996 
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Evaluating the Quality of Health Care: What Research Offers Decision Makers   Bookmark and Share
Lee Greenfield, B.D. Colen, Paul D. Cleary, and Sheldon Greenfield
1996 
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Treating Drug Abusers Effectively: Researchers Talk with Policy Makers   Bookmark and Share
Harry Nelson
1996 
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More than Health Insurance: State Initiatives to Improve Infant and Child Health   Bookmark and Share
Charles Bruner and James M. Perrin
1995 
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The Question of Primary Care: Legislators Get the Answers   Bookmark and Share
Harry Nelson
1995 
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Leadership in Public Health   Bookmark and Share
Molly Joel Coye, William H. Foege, and William L. Roper
1994 
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Hospital Trusteeship in an Era of Health Reform   Bookmark and Share
Susan S. Tyler
1994 
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Knowing What the Problem Is...And Getting It Solved: State Reform in Long-Term Care   Bookmark and Share
Harry Nelson
1994 
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Setting New Priorities in Health Care   Bookmark and Share
Jack A. Meyer, Sharon Silow-Carroll, and J. Brian Garrett
Introduction by Rachel Block
1993 
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