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.
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.
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
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