The Fund supports several networks of state health policymakers to help identify, inspire, and inform policy leaders.
The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and total costs of care.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
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.
July 17, 2019
Primary Care Investment & Transformation Primary Care Investment
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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 (PCPCC) 2019 Evidence Report, Investing in Primary Care: A State-Level Analysis. The first-of-its-kind study, made possible with support from the Milbank Memorial Fund, examines primary care spending patterns at the state level—including across payer types—and the implications for patient outcomes.
Despite strong evidence that primary care is associated with the outcomes that policymakers and patients seek, such care has been chronically underfunded. The United States spends an average of 5% to 7% on primary care as a percentage of total health care spending whereas Organisation for Economic Co-operation and Development countries average 14% spending on primary care.
This report also provides a high-level description of efforts to use state legislative and regulatory authority to measure and report on primary care spending and, in some cases, to set targets for increasing investment in primary care. Such efforts have been undertaken in 10 states, seven of which initiated their efforts in 2019.
Read the report on the PCPCC website.
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An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.