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.
We focus on a number of topic areas identified by state health policy leaders as 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.
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.
17 articles found. Displaying 1 - 10.
Mar 26, 2019
Oregon has been a leader in targeting the growth in overall health care costs. In 2012, the state adopted a unique approach to growth limits for the Oregon Health Plan, first for its Medicaid beneficiaries and then for public employees. State officials had discussed extending the model to other populations and types of coverage, but a plan to do so had not emerged…until now. In the fall of … Read more
Feb 28, 2019
Rhode Island has a history of taking the lead when it comes to health care spending. Beginning in 2010, the state instituted health care “affordability” standards for health insurers. These standards created strong incentives for reduced rates of growth in health care spending for commercial insurance—first by directing increased investment in the state’s primary care health system and … Read more
Nov 27, 2018
For the second year in a row, the Milbank Memorial Fund has partnered with AcademyHealth to recognize state and local efforts to advance the use of data to improve the health of populations and the performance of health systems. State and local health agencies require robust data and analytics for program design, operations, and evaluation. However, these agencies often lack the capacity to … Read more
Aug 28, 2018
“You can’t manage what you can’t measure.” – Peter Drucker. States face growing challenges to manage and measure health care costs. By looking at the cost performance across all payers of the system as a whole, or a particular set of services such as hospital care, these states can advance more comprehensive strategies for delivery system reform. This month, we took a look at four … Read more
May 31, 2018
Massachusetts isn’t the only state making progress when it comes to measuring health care costs. Delaware is also moving forward with its own approach. Delaware’s Secretary of the Department of Health and Social Services (DHSS) Kara Odom Walker was tasked with leading this effort. The Fund assisted the secretary’s work by sharing policy lessons learned from the Totals Cost of … Read more
Apr 30, 2018
State policymakers want to know how to control health care costs. In fact, global budgeting, the idea of putting a limit on spending, is attracting attention. The New York Times recently published an article on Maryland’s work on cost containment, Would Americans Accept Putting Health Care on a Budget? To find out more about Massachusetts’ efforts, we asked David Seltz, executive … Read more
Feb 28, 2018
How much of our health care dollars actually go toward supporting primary care, which is consistently acknowledged to be key to improving population health? Some states are working toward an answer. “At the Fund, we are working to increase policy focus on primary care spending,” said Rachel Block, Fund program officer. “It’s a good measure of how oriented a health system is to … Read more
Jan 25, 2018
The Milbank Memorial Fund has teamed up with AcademyHealth to establish a new annual award that recognizes state and local efforts to advance innovation using data to improve the health of populations and the performance of health systems. The prize was created to draw attention to, and reward, the efforts of state and local governments to develop and use data to achieve measurable … Read more
Oct 31, 2017
We have heard a lot about health care costs lately—and state health leaders and the public have many questions about them. Does my state spend more on health care than others? How much does spending vary based on who is paying? How has that spending changed over time and why? Measurement activities continue at both the national and state level. Here are two recent updates: Comparing … Read more
Jul 25, 2017
Primary care is often acknowledged as the foundation of any high-performing health care delivery system. But how much of our health dollars go to supporting it? To address this question, the authors of this report—Michael Bailit, Mark Friedberg, and Margaret Houy—present a methodology to define and estimate spending on primary care, relative to other medical expenses. The study design … Read more
Several states have adopted policies that focus on measuring and setting a growth rate target for total cost of care. By looking at the cost…
About the Total Costs of Care