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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.
Good primary care is essential to improving population health. Yet, research shows that an underinvestment in primary care is one of several reasons why the US health care system yields poorer population health outcomes than other countries.
One simple way to establish how strongly a state is committed to primary care is to measure primary care spending—the portion of health care dollars that go to primary care. It is important to make the case for primary care support, and spending measures can support those arguments. There are also many practical steps associated with generating primary care spending measures that policymakers can take, including how to define primary care, how to collect and analyze the necessary data, and what policy levers need to be in place.
The Milbank Memorial Fund has assembled a comprehensive set of resources to support policy makers who want to learn more about and use primary care spending measures as a tool to gauge the level of primary care investment overall and by major payer group.
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 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
Apr 30, 2019
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
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