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 and issues briefs on topics important to population health.
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 performance across all payers of the system as a whole or a particular set of services such as hospital care, these states hope to facilitate delivery system reform.
At the request of several states, the Fund launched a project in 2015 to assess and document methods that states use to set a rate of growth target for total cost of care measures. The Fund’s initial report looks at four states as models for this activity—and assesses how they are going about this work. How are they documenting costs, projecting growth rates, and setting targets?
In addition to tracking the original states’ work, additional states are developing policies and technical capacity for health care cost measurement. The Fund continues to facilitate state-to-state interaction on this topic to enhance collaborative learning for both the states involved in the project and others states considering this policy activity.
Another focus for the Fund is developing and supporting the use of measures for primary care spending. These measures will strengthen the evidence base for primary care, and inform national and state policy activities. The Fund will continue to work with policymakers and stakeholders to advance this work.
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 Total 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
All Total Costs of Care News