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.
Chief Health Officer and Chief Executive, East Campus Medical Center, UC San Diego Health
Nick Macchione serves as chief health officer and chief executive at East Campus Medical Center at UC San Diego Health. In these dual roles, Nick works with senior leaders to enhance UC San Diego Health’s organizational structure, streamline operations, and expand strategic partnerships to ensure the broader community has access to world-class care and leading-edge therapies.
Nick has over 35 years of clinical and executive experience leading complex health and human service delivery systems in the New York City metropolitan area and the County of San Diego. Before joining UC San Diego Health, he served as the director (2008-2023) and deputy director (1998-2008) of the County of San Diego’s Health and Human Services Agency.
He was named the 2016 Public Official of the Year by Governing Magazine and was awarded the Baldrige Foundation’s 2018 Harry Hertz Leadership Award. In addition, Nick led the agency’s Malcom Baldrige journey for quality and operational excellence, resulting in the 2017 Silver level California Awards for Performance Excellence and the county’s Edgemoor Hospital 2017 Gold level for Excellence in Quality award.
Nick holds master’s degrees from Columbia University and New York University, specializing in health care leadership, strategic management and health policy, and a professional health care executive training certification from Harvard University. Nick is board certified in health care management and is a fellow with the American College of Healthcare Executives. He is also a fellow with the American Hospital Association and a public health scholar with the federal Centers for Disease Control and Prevention.
For the past 26 years, Nick has been an instructor and faculty member at San Diego State University’s School of Public Health. He holds the endowed position of John Hanlon Executive Scholar, where he teaches and mentors graduate students specializing in health services management and policy.