The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
We focus on a number of topic areas identified by state health policy leaders as important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports and issues briefs on topics important to population health.
Nov 28, 2016 | Christopher F. Koller, President
Congress is preparing to debate the future of the Affordable Care Act (ACA) yet again. While “repeal and replace” may take longer than was promised on the election trail, with single party control of both Congress and the White House, changes to the ACA appear inevitable. As they sort through particular policy proposals, lawmakers should take into highest account the concerns of those most … Read more
Oct 26, 2016 | Christopher F. Koller, President
CO-AUTHORED WITH LISA DULSKY WATKINS The release on October 17, 2016 of 2015 Shared Savings and Quality Results for year two of the Center for Medicare and Medicaid Innovation’s (CMMI) Comprehensive Primary Care (CPC) Initiative marked another milestone in efforts to align payers and transform primary care. Observers looking for an airtight identification of the right mix of payment, … Read more
Sep 21, 2016 | Christopher F. Koller, President
What does it take to have stable, competitive health insurance markets? I was recently asked this question by the Senate Homeland Security and Governmental Affairs Committee for a hearing on state and federal insurance marketplaces, 2017 insurance premiums, and insurer competition. As the nation’s first health insurance commissioner, serving in Rhode Island (RI) for eight years during the … Read more
Aug 22, 2016 | Christopher F. Koller, President
Ricky may have been on the edge of losing control, but he was still teaching me some health policy lessons. Word was out among his friends that Ricky was drinking again, and my cousin, who has been friends with him for 35 years, had flown in to see what was going on and how she could help. He had driven into town, and they had been hanging out all day. Now we were all out for an evening stroll. … Read more
Jul 28, 2016 | Christopher F. Koller, President
I have a new emergency room (ER) drama for television in mind. In my TV drama, there are no sirens and no gurneys racing through the corridors. There are no overworked doctors or heart-tugging patients or gut-wrenching triage decisions. Instead, my TV drama commences with a more common ER scene—a crowded waiting room full of bored, sick people, many of them disoriented and distressed. Cut to … Read more
Jun 24, 2016 | Christopher F. Koller, President
With threats of lawsuits and pressure from government officials, some payers appear to be relaxing their coverage guidelines for expensive direct-acting antiviral drugs (DAAs), including drugs for Hepatitis C. Read more
May 26, 2016 | Christopher F. Koller, President
If I die before my time, is it my fault? If I drank a lot of alcohol, drove too fast, didn’t wear a seat belt, and crashed—most would say yes, I had it coming. If I got hit by that driver while walking on the sidewalk, it would be a terrible tragedy. What about groups of people who die early? Read more
Apr 25, 2016 | Christopher F. Koller, President
My e-mail inbox is full of innovations—solicitations for health care meetings, most offering “unique opportunities” to hear from “national leaders,” all of whom are busy innovating. Much of the conference fodder focuses on payment reform. Read more
Mar 23, 2016 | Christopher F. Koller, President
We are not the first country to wrestle with the effects of fee-for-service medicine, it seems. I recently picked up the book, The Forging of a Rebel, an autobiography of Spanish Civil War veteran Arturo Barea—and encountered the durable power of economic incentives in medical care. Read more
Feb 16, 2016 | Christopher F. Koller, President
Dear Health Care Payers: We gathered 25 of you—insurance company staff, Medicaid officials, and Medicare staff—earlier this month to compare notes on your work with Medicare’s Comprehensive Primary Care Initiative, a multi-payer initiative that fosters collaboration between public and private health care payers in seven markets to strengthen primary care. It is apparent that this sort … Read more
by Christopher Koller | President, Milbank Memorial Fund
The Milbank Memorial Fund is an endowed operating foundation that works to improve the health of populations by connecting leaders and decision makers with the best available evidence and experience.