The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
Publication Topic
Blog Post
May 2025 Stephanie B. Gold, MD, Kyle Leggott, Sarah Hemeida, Lakshmi Karra, Apoorva Ram, Lauren S. Hughes ,
To inform state-level primary care payment policies, we reviewed recent policies advancing primary care payment reform in the commercial sector and conducted interviews with 50 stakeholders in five pioneering states: Arkansas, Colorado, Delaware, Rhode Island, and Washington. More
Publication
April 2025 Hoangmai H. Pham, Wayne Jonas, Mark Smith,
This brief identifies beliefs and common practices in health care culture that the authors suggest have hindered the spread of these models, as well as opportunities for the policymakers and influencers, payers, and clinicians to support whole-person health. More
March 2025 Rebecca S. Etz, Kevin Grumbach, Larry A. Green, Kurt C. Stange,
Primary care clinicians are a bellwether for the state of health care and health in the United States. With the Trump Administration moving at… More
March 2025 Vida Foubister,
This series of profiles highlights five states that are in different stages of enacting and implementing primary care spending targets, including early planning and coalition building; active efforts to engage state policymakers; and implementation or revision of an enacted state policy. More
February 2025 Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, Anam Siddiqi, Jeongyoung Park,
This 2025 Primary Care Scorecard spotlights the downward cycle of financing for primary care, describing how persistent challenges in primary care arise from insufficient investment (or in the case of training, misplaced investment) and a fee-for-service (FFS) payment model that rewards volume rather than continuous, whole-person care. This report highlights how these systemic financial issues not only undermine the effectiveness of primary care delivery but, more importantly, jeopardize the overall health of our communities in the following ways. More
Event
February 2025 Mary Louise Gilburg,
As the nation faces a widespread surge in chronic diseases and more people report not being able to see a clinician who knows them, the third… More
August 2024 Christopher F. Koller,
“Chris, if you have a hammer, everything looks like nail.” So said the general surgeon in the HMO where I was working 30 years ago, as… More
News Article
July 2024 Christine Haran, Mary Louise Gilburg,
In July 2024, eight Washington health plans signed a memorandum of understanding (MOU), committing to multipayer primary care transformation. The MOU… More
May 2024 Lauryn Walker, Lisa Dulsky Watkins, Christopher F. Koller,
States should consider six key activities to prioritize resources and use their authority most effectively. More
May 2024 Lauryn Walker, Shannon Dowler, Barbra Rabson, Bob Rauner,
This brief provides seven recommendations for how the federal government can support states in their primary care reform efforts. More
