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, issues briefs, and case studies on topics important to population health.
Oct 19, 2015 | Christopher F. Koller, President
When I regulated commercial health insurance in Rhode Island, I would point out that the politically conservative notion of a free market for health insurance depends on the liberal principle of collectivism. Health insurance only works if enough people come together so the many who are healthy can pay for the few who are sick—and if payments from insurers actually help improve the … Read more
Sep 21, 2015 | Christopher F. Koller, President
Bipartisanship in health policy is hard to find. Pick your topic—Medicaid expansion, Medicare reform, or health insurance exchanges—and voices are shrill, slogans are wielded like swords, and opinions ossified. Powered by easy ideologies and campaign cash, the outcomes of partisanship are misunderstandings, distrust, and a lack of progress on important issues. The Milbank Memorial Fund, in … Read more
Aug 17, 2015 | Christopher F. Koller, President
You would think a billion-dollar-a-year organization that pays its chief 20% of the market rate and turns that role over every two years—as is the case with state Medicaid programs—might start to consider the importance of leadership. Leadership also seems important for a public health agency charged with guarding the safety of food, water, and patient care, or a child welfare or human … Read more
Jul 21, 2015 | Christopher F. Koller, President
“Secret Health-Law Huddle.” The headline made me shudder. It appeared in a national newspaper, describing a meeting hosted by the Milbank Memorial Fund. “Secret” implied scandal where there was none. That the meeting happened was no secret. The proceedings were, however, confidential. Yes, we had a meeting. No, we weren’t going to talk about what was said. There is a world of nuance … Read more
Jun 16, 2015 | Christopher F. Koller, President
Randy Newman had it right 28 years ago and today—judging from recent events in Baltimore. Riots tore apart the city at the end of April in the wake of Freddie Gray’s death in police custody, and the after-effects continue to ripple. Homicides in May of this year were 50% higher than May of last year driven, some say, by the large amounts of drugs in circulation looted from 27 pharmacies and … Read more
May 20, 2015 | Christopher F. Koller, President
State health policymakers face more work than they can handle now. Delivery system reform. Medicaid sustainability and expansion. Affordable Care Act (ACA) implementation. The latest public health issue. Angry constituents. When can they collaborate with private sector leaders working on some of the same issues? The Fund, with the help of the Network for Regional Health Improvement, recently … Read more
Apr 15, 2015 | Christopher F. Koller, President
Welcome to health care’s economic wonderland: “Health care costs are killing employers and the government budget.” “Health care jobs are the key to our economic recovery.” “We want to lure more high-paying biotech jobs into our community.” These contradictory statements often peacefully coexist in the magical reality of this wonderland. When I was health insurance … Read more
Mar 12, 2015 | Christopher F. Koller, President
Along the coast of Australia, every community has its own Surf Life-Saving Club (SLSC), a voluntary club that trains and certifies residents to patrol the beaches. Most have their own building overlooking the surf—and get some support from the local municipality, akin to our voluntary fire departments. SLSCs are ubiquitous—especially on crowded suburban beaches. SLSC members walk around the … Read more
Feb 2, 2015 | Christopher F. Koller, President
Improving population health by building more and better primary care in the United States might be considered an exercise in what a nun I once met called, “the theology of the long haul.” I am not sure we have God on our side here, but we do have evidence—much of it published in The Milbank Quarterly by research titans like Barbara Starfield. The evidence is clear—the foundation of any high … Read more
Jan 28, 2015 | Christopher F. Koller, President
“Don’t try to teach a pig to sing, Chris,” a colleague once advised me, quoting the well-known saying. “You won’t succeed and you will only tick off the pig.” The image of singing swine seems particularly apt right now as we look at the question of whether medical providers can practice “population health.” A recent op-ed in The Milbank Quarterly and presentations about community health and … Read more
by Christopher Koller | President, Milbank Memorial Fund
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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.