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.
Focus Area
Event
October 2025
This webinar described how states can focus their commercial market affordability efforts to impact highly resourced hospitals and health systems without endangering hospitals that would struggle to implement such policies. More
Publication
September 2025 Nathan Hostert, Andrew M. Ryan,
A recent study finds that Rhode Island’s affordability standards, which apply only to the fully insured market, have led to a 9% relative reduction in hospital prices across the entire commercial market. More
News Article
September 2025
The third annual analysis of spending growth trends across cost growth target states finds all five exceeded their targets. More
August 2025 Nathan Hostert,
In the first half of 2025, states enacted numerous laws to strengthen their health care markets. These new laws address several recurring policy issues affecting states across the country, including skyrocketing health care costs, increased consolidation in the healthcare sector, and the heightened penetration of private equity in health care systems. This brief highlights trends in state health policy across four major themes and identifies states that have made significant reforms in each of these areas this year. More
August 2025 Mary Louise Gilburg, Morgan McDonald,
The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to discuss state legislative activity to address the rising cost of prescription drugs. More
Blog Post
August 2025 Rachel Block,
The passage of HR1/OBBB, the 2025 budget reconciliation law, is expected to lead to the loss of coverage for 16 million Americans, lower revenue for health systems, and add administrative burden to states. There are a few ways that states can try to minimize these harms. More
July 2025 Alyssa Vangeli, Sarah Kinsler,
This brief provides an overview of existing state, federal, and private sector hospital efficiency measures; the advantages and limitations of those measures; potential modifications to existing measures; and options for how states can employ new or existing measures to better understand current hospital efficiency levels and incentivize improved efficiency. More
June 2025
Download consensus definitions and methodologies for health care cost driver analyses and cost growth target programs. More
June 2025 Grace Flaherty, January Angeles,
This issue brief examines how three of these states —Massachusetts, Oregon, and California — have strengthened cost growth target accountability. It also highlights five states — California, Connecticut, Delaware, Massachusetts, and Oregon — that have leveraged their cost growth targets in other health care oversight programs. More
June 2025 Mary Louise Gilburg,
In a new Health Affairs Forefront article, Milbank Memorial Fund president Christopher Koller discusses the role of health care cost growth target programs in spurring policy change to lower cost growth. More