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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.
News and Updates
June 13, 2019
Program: Total Costs of Care
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.
In a new Milbank blog post, Kitzhaber and Goldberg make the case for why block grants don’t work and look at an alternative approach that they put in place in Oregon: A global budget for Medicaid with a fair negotiated per-capita rate of increase. Global budgets, they say, can contain costs by improving efficiency in care delivery rather than by reducing benefits or cutting enrollment.
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.
“This Is Incredibly Motivating to Me”
November 5, 2019
What Would a Medicaid Block Grant Mean for Community Health Centers?
October 29, 2019
“We feel pretty lucky.”
October 3, 2019
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