The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
A bipartisan group of state health policymakers from both the executive and legislative branches who are focused on improving population health.
Networks of state officials, advocates, and others aiming to invest in and transform primary care.
A program dedicated to advancing state-based efforts to make health care more affordable for residents, employers, and states.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
A leadership development program for early and mid-career state government officials who are committed to improving the health of all people in their communities.
A leadership program for senior state government officials who are committed to improving population health.
The Fund focuses on creating an affordable health care system built on strong primary care and partnerships that improve health outcomes for all.
Improving state leaders’ ability to enact and implement evidence-based health policies.
Advancing policies that create a more prevention- and primary care-oriented health system.
Improving population health through policies that contain health care cost growth.
Our state health policy resources offer relevant data analysis and best practices.
The Fund publishes reports, issues briefs, and case studies on state health policy issues.
Short takes on health policy issues from Milbank staff and guest authors.
Insights from Milbank President Debra Lubar on state health policymaking.
Reported articles and Q&As on timely health policy issues, as well as foundation updates.
Milbank Memorial Fund and Milbank Quarterly webinars featuring state health policymakers and researchers.
Updates and expert contact information for reporters.
The Milbank Memorial Fund is a private foundation that works to improve population health and health equity.
December 2, 2015
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Caregiving has traditionally been viewed as part of family life, and as a personal obligation rather than a form of paid work. Even within programs that pay family members and non-family members to provide care to low-income older adults, caregivers have to negotiate the care they provide as paid caregivers with uncompensated “gift” assistance motivated by emotional attachment.
A new study in the December issue of The Milbank Quarterly looks at the blurred line between market and gift economies of care—and finds that policies that cut or restrict formal long-term services and supports for older adults can either push caregivers to provide more uncompensated care or leave older adults with unmet needs for care. Written by Jacqueline Torres from the University of California, San Francisco, and colleagues, the study also found that policies that assume that family caregivers can readily fill in gaps in care should be reassessed.