We focus on a number of topic areas identified by state health policy leaders as important to population health.
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.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
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.
Jul 17, 2019
Spending on primary care varies widely at the state level—and increased primary care spending is associated with decreases in emergency department visits and hospitalizations, according to the Patient-Centered Primary Care Collaborative’s 2019 Evidence Report. Read more
Jun 27, 2019
As a group, rural residents are older and poorer than other Americans and have worse access to health care services. These are just a few of the reasons why Tom Morris, associate administrator of rural health policy for the Health Resources Services Administration, and his colleagues are working “to make sure rural issues are front and center when policy issues are considered.” Read more
Jun 19, 2019
Family and unpaid caregivers play a foundational role in the care of older adults with complex health needs and disabling conditions. In a new report cosponsored by The John A. Hartford Foundation and the Milbank Memorial Fund, researchers from the Johns Hopkins Bloomberg School of Public Health highlight five states—Washington, Hawaii, Maine, Minnesota, and Tennessee—that have advanced policies and programs in support of family caregivers. Read more
Jun 13, 2019
The Tennessee legislature recently passed a bill that could make it the first state to request a Medicaid block grant. Under a block grant, Tennessee would receive a fixed annual sum from the federal government for its Medicaid program rather than open-ended federal dollars. But John Kitzhaber, MD, former governor of Oregon, and Bruce Goldberg, MD, former director of the Office for Oregon Health Policy and Research, say that this approach does nothing to reduce the cost of care and hurts Medicaid recipients. Read more
Jun 5, 2019
A first step toward increasing primary care investment is measuring and reporting on existing primary care spending. In 2019, several states introduced legislation on this topic, and Colorado and Vermont now have new laws to advance these policies. Read more
May 29, 2019
Many health care challenges are exacerbated in rural areas, such as limited access to services, provider shortages, and the prevalence of avoidable deaths from chronic disease and substance use disorders. In a new issue brief, Emily Whelan Parento, an O’Neill Institute Scholar at Georgetown University Law Center, summarizes information presented at three Reforming States Group regional meetings of state and federal health officials and health services researchers working on rural health issues. The brief examines the importance of health care delivery models that promote and incentivize investment in community health, the need for workforce development such as programs to train and retain providers in rural areas, and the need for ongoing rural health research and policy development. Read more
May 17, 2019
For a new issue brief, Noam Levey interviewed participating payers in three distinct regional markets in the Comprehensive Primary Care Plus program: Colorado, Oklahoma, and Greater Philadelphia. While the challenges inherent in fostering collaboration across companies that usually compete vigorously were handled differently in each market, common themes emerged including strong payer commitment and the need for sustained federal leadership. Read more
Apr 30, 2019
On April 22, the Centers for Medicare and Medicaid Services (CMS) Innovation Center announced a new set of payment models for primary care—”Primary Care First.” The models expand CMS’s commitment to multi-payer primary care transformation—extending its Comprehensive Primary Care Plus (CPC+) program to more markets and more primary care providers with a third payment track. Primary Care … Read more
How much does Medicare spend on primary care? As more evidence mounts about the benefits of primary care, a growing number of health policy leaders want to know if this investment is being made. New research conducted by the RAND Corporation and published in JAMA Internal Medicine, with support from the Milbank Memorial Fund, analyzes for the first time national and state estimates of primary care … Read more
Leveraging shared data to address the opioid crisis in nine states. Addressing chronic disease management in a large safety net system in New York City. Coordinating public and private resources to manage community health improvement goals in San Diego. What do these three population health challenges have in common? Each one is using a data analytics roadmap (DAR) to turn analysis into … Read more
In Support of Family Caregivers: A Snapshot of Five States
June 19, 2019
States Tackling Health Care System Transformation with Federal Support
June 3, 2019
Supporting Rural Health: Practical Solutions for State Policymakers
May 28, 2019
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