The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
Health Care Affordability
August 2025 Rachel Block,
The passage of HR1/OBBB, the 2025 budget reconciliation law, is expected to lead to the loss of coverage for 16 million Americans and lower revenue… More
Milbank State Leadership Network State Health Policy Leadership
August 2025 Christopher F. Koller,
An eager ensign inquired why his naval captain asked for his red shirt every time he went in battle. “Ah,” the captain said. “That is… More
August 2025 Annie Cloke, Janée Tyus,
Health insurance coverage for 1 in 5 Americans is at risk as states respond to changes included in HR1/OBBB. These changes follow significant cuts to federal public health funding. Because state Medicaid agencies will have to do more with less, they will need to focus on policies and cost-effective programs with demonstrated results — and may want to consider investing in community health worker (CHW) programs. More
August 2025 Joanne Kenan,
How can policymakers and institutions of higher learning comply with the law — and acknowledge the political climate — and still develop the high quality, excellent, and diverse health workforces that the country needs? More
Primary Care Transformation
August 2025 Monica O’Reilly-Jacob, Kyle Featherston, Lusine Poghosyan,
The number of nurse practitioners (NPs) in the United States quadrupled from 91,000 in 2007 to 431,000 in 2024. But does this remarkable growth result in improved access to primary care where it is needed most? More
Reproductive Health
August 2025 Meghan Bellerose, Linqing Zheng, Arielle Desir, Rachel E. Fabi, Laura R. Wherry, Maria W. Steenland,
Health insurance coverage increases access to recommended pregnancy care, but undocumented immigrants are not eligible for pregnancy Medicaid coverage without state uptake of alternative policy options. Twenty-four states and the District of Columbia (DC) offer public insurance to undocumented immigrants who are income eligible for pregnancy Medicaid through the Children’s Health Insurance Program From-Conception-to-End-of-Pregnancy option or state funds. More
Behavioral Health Population Health
August 2025 David H. Jernigan,
Alcohol is a causal factor in more than 200 disease and injury conditions in the human body. The Centers for Disease Control and Prevention (CDC) define excessive drinking as binge drinking (4 or more drinks for women, 5 or more for men on one occasion in the past month), heavy drinking (8 or more drinks for women, 15 or more for men in a week), and any drinking during pregnancy or by persons younger than age 21 years. More
Health care costs
August 2025 Hossein Zare, Gerard Anderson,
The American Hospital Association determined that in 2022 nonprofit hospitals spent $129 billion on community benefits. This is more than the entire budget for the US public health service. Different organizations estimate different amounts of community benefit spending depending on their definition of community benefit. More
Health Equity
August 2025 Philip M. Alberti,
For more than 2 years, I have started my speaking engagements with a simple message: “Health equity benefits all communities.” Although the message may be straightforward, health equity–focused scientists and advocates like me have done an inadequate and ineffective job making that point clear and believable through stories, data, and messaging. More
Health Insurance
August 2025 Rick Mayes, Micah Johnson,
From 2004 to 2024, Medicare Advantage (MA) went from being a “policy disappointment,” covering 12% of all Medicare beneficiaries, to predominance, covering more than one-half (52%), with more growth predicted in the future. Drawing on an extensive review and synthesis of the literature, Medicare Payment Advisory Commission (MedPAC) reports, congressional committee hearings, and Centers for Medicare and Medicaid Services (CMS) data, this paper analyzes the evolution of Medicare and managed care in three parts More
