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The Latest from The Milbank Memorial Fund

  1. Join a Webinar on State Approaches to Mitigating Health Provider Consolidation and Its Effects on Prices

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  2. A Children’s Health and Wellness Fund: A New Way for States to Support Children’s Long-Term Health

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  3. In Memoriam: David K. Jones

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  4. The Kathleen S. Andersen Scholarship Endowed

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  5. Primary Care: Getting Systematic

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  6. Strategic Approaches to Utilization of American Rescue Plan Act Funds to Support Older Adults

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New Milbank Quarterly Issue Released:  June 2021

  1. Early View Perspective

    A Playbook for Implementing Medicaid Expansion: Louisiana’s Experience

    By:  Will Boles Ruth Kennedy Emma Siewert Diane Rowland Barbara Lyons Rebekah E. Gee

    Twelve states have not yet expanded Medicaid under the Affordable Care Act. In a new Perspective, Will Boles of Louisiana State University Health Sciences Center School of Medicine, along with Ruth Kennedy, Emma Siewert, Diane Rowland, Barbara Lyons, and Rebekah E. Gee, suggest that Louisiana can serve as a model for new Medicaid expansion states seeking to rapidly enroll people within a limited administrative budget. More

  2. Early View Original Scholarship

    Does a Rising Median Income Lift All Birth Weights? County Median Income Changes and Low Birth Weight Rates Among Births to Black and White Mothers

    By:  David S. Curtis Thomas E. Fuller-Rowell Daniel L. Carlson Ming Wen Michael R. Kramer

    Low birth weight and infant mortality rates vary among place and racial group in the United States, with economic resources being a likely fundamental contributor to these disparities. The goals of this study were to examine time-varying county median income as a predictor of LBW rates and Black-White LBW disparities and to test county prevalence and racial disparities in maternal sociodemographic and health risk factors as mediators. More

  3. Early View Original Scholarship

    County-Level Recreational Marijuana Policies and Local Policy Changes in Colorado and Washington State (2012-2019)

    By:  Denise D. Payán Paul Brown Anna V. Song

    In 2012, Colorado and Washington became the first states in the country to legalize marijuana and therefore “serve as quasi-natural experiments to examine how local jurisdictions have responded to state marijuana legalization.” In this study, Denise D. Payán, Paul Brown, and Anna V. Song of the University of California, Merced identified key county policymakers in those states and explored their arguments for or against marijuana facilities. The authors found that several counties in both Colorado and Washington have made substantial marijuana facility policy modifications since state legalization. More

  4. Early View Original Scholarship

    Population Health Innovations and Payment to Address Social Needs Among Patients and Communities With Diabetes

    By:  Kathryn E. Gunter Monica E. Peek Jacob P. Tanumihardjo Evalyn Carbrey Richard D. Crespo Trista W. Johnson Brenda Rueda-Yamashita Eric I. Schwartz Catalina Sol Cody M. Wilkinson Jo Wilson Emily Loehmer Marshall H. Chin

    In this study, Kathryn E. Gunter of University of Chicago and colleagues explore the experiences of eight grantee organizations from the Bridging the Gap: Reducing Disparities in Diabetes Care initiative sponsored by the Merck Foundation, which aims improve diabetes outcomes by transforming primary care and addressing social needs within evolving payment methods. The authors find that current payment mechanisms for health care services do not adequately support critical up-front investments in infrastructure to address medical and social needs, nor provide sufficient incentives to make addressing social needs a priority More

  5. Early View Original Scholarship

    Evidence-Based Message Strategies to Increase Public Support for State Investment in Early Childhood Education: Results from a Longitudinal Panel Experiment

    By:  Jeff Niederdeppe Liana B. Winett Yiwei Xu Erika Franklin Fowler Sarah E. Gollust

    Investments in early childhood education can have a long-lasting impact on health and well-being. This study by Jeff Niederdeppe of Cornell University and colleagues compared types of messages to garner public support, including simple advocacy messages, policy narratives (short stories with a setting, characters, and a plot that offers a policy solution to a social problem), and inoculation messages (messages designed to prepare audiences for building resistance to opposing messages). The authors found that narrative messages may be particularly effective in persuading individuals inclined to oppose such policies, while inoculation messages may protect favorable child care policy attitudes. More

  6. Early View Original Scholarship

    Advancing Action on Health Equity Through a Sociolegal Model of Health

    By:  Ashley Schram Tessa Boyd-Caine Suzie Forell Fran Baum Sharon Friel

    In the field of public health, the law and legal systems remain a poorly understood and substantially underutilized tool to address unfair or unjust societal conditions underpinning health inequities. The aim of our article is to demonstrate the value of expanding from a social model of health to a sociolegal model of health and empowering health actors to use the law more strategically in the pursuit of health equity. More

The Milbank Quarterly Opinion

Moving Toward Tax Justice and Health Care Cost Containment Simultaneously

Mark Pauly of the University of Pennsylvania proposes taxing employment-based health insurance plans for high-income people only in this guest Opinion.  More
Mark V. Pauly

Mark V. Pauly

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Old Wine in a New Bottle—Time for a National Health Care Workforce Commission

The massive shortcomings of the US health care delivery system have been strikingly evident during the COVID-19 pandemic. One key shortcoming involves the nation’s health care workforce—physicians, nurses, mental health professionals, and many others. To address this challenge, President Biden and Congress should establish a national health care workforce commission.  More
John E. McDonough

John E. McDonough

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Vaccine Hesitancy and the Decline of the American Experiment?

Epidemics are more than biological events, says David Rosner of Columbia University’s Mailman School of Public Health in his latest Milbank Quarterly Opinion. “The ways we react to disease outbreaks are products of our beliefs, our knowledge, our prejudices, and our social and political histories,” Rosner explains. In this new commentary, Rosner explores the broad rejection of smallpox inoculation in 18th century America, its impact on health and life expectancy, and its parallels to today’s resistance to COVID-19 vaccination.  More
David Rosner

David Rosner

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Building Back Better

Confronting the Consequences of National Federation of Independent Business v Sebelius to Insure the Poor

When it comes to examples of health injustice, the United States has a wealth of candidates to consider. One of the worst, however, is that more than…  More
Sara Rosenbaum

Sara Rosenbaum

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Meeting the Moment: Policy Changes to Strengthen SNAP and Improve Health

The Supplemental Nutrition Assistance Program (SNAP), the largest government nutrition assistance program in the United States, provides money for…  More

Aim Your Enthusiasm: Targeting Increased Middle-Class Health Insurance Tax Credits

One feature of President Biden’s COVID-19 relief bill is a trial run of his earlier proposals to expand subsidies for people who use Affordable Care…  More
Mark V. Pauly

Mark V. Pauly

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Building Back Better

State Networks

  • Milbank State Leadership Network

    The Milbank State Leadership Network is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches.

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  • Multipayer Primary Care Network

    The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives.

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  • Emerging Leaders Program

    The Emerging Leaders Program seeks to develop practical, hands-on leadership skills in future senior executive and legislative officials.

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