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The Latest from The Milbank Memorial Fund

  1. Mitigating the Price Impacts of Health Care Provider Consolidation

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  2. The Emerging Leaders and Milbank Fellows Programs’ 2021-2022 Class Launch

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  3. A Tool to Improve Policymaking in Health Care Affordability

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  4. Improving COVID-19 Outcomes for Medicare Beneficiaries: A Public Health–Supported Advanced Primary Care Paradigm

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  5. A Major Shift Toward Home-Based Care is Underway in Connecticut’s Long-Term Services and Supports Program

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  6. More Information Needed: How CMS Can Best Partner with State Medicaid Agencies

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New Milbank Quarterly Issue Released:  June 2021

  1. 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

  2. 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

  3. 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

  4. Early View Original Scholarship

    Economic Aspects of Delivering Primary Care Services: An Evidence Synthesis to Inform Policy and Research Priorities

    By:  Lorcan Clarke Michael Anderson Rob Anderson Morten Bonde Klausen Rebecca Forman Jenna Kerns Adrian Rabe Søren Rud Kristensen Pavlos Theodorakis Jose Valderas Hans Kluge Elias Mossialos

    In 2018, the Declaration of Astana renewed goals set forth 40 years earlier by the World Health Organization and the United Nations’ Children Fund regarding the importance of primary health coverage in achieving universal health coverage. However, policymakers are often unclear how best to use primary care resources for maximum economic impact. In this overview of systemic reviews, Lorcan Clarke from the London School of Economics and Trinity College Dublin and colleagues finds that specific task shifting among different health care workers, telemedicine, longer primary care consultations, and pay for performance mechanisms are some of the strategies that can have positive economic effects. More

  5. Early View Original Scholarship

    The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review

    By:  Betsy Q. Cliff Anton L. V. Avanceña Richard A. Hirth Shoo-Yih Daniel Lee

    Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on Choosing Wisely guidelines can reduce the use of low-value services. They also found that multicomponent interventions targeting clinicians are currently the most effective types of interventions. More

  6. Early View Original Scholarship

    Pursuing Value-Based Prices for Drugs: A Comprehensive Comparison of State Prescription Drug–Pricing Boards

    By:  Liam Bendicksen Benjamin N. Rome Jerry Avorn Aaron S. Kesselheim

    Context: Rising prescription drug costs are consuming a growing proportion of state and private budgets. In response, lawmakers have experimented with… More

The Milbank Quarterly Opinion

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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An ARPA for Health Research?

In what would be the most significant change to US biomedical research funding policy in decades, Congress is considering a proposal to create an Advanced Research Projects Agency for Health (ARPA-H).  More

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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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