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.
August 13, 2018
Multi-Payer Primary Care Transformation
Patient-centered medical homes (PCMHs) and accountable care organizations (ACOs) were often considered to be competing models for reforming health care delivery. Not now. It’s increasingly apparent that one helps the other.
That’s the main finding from the new Patient-Centered Primary Care Collaborative (PCPCC) 2018 evidence report, “Advanced Primary Care: A Key Contributor to Successful ACOs,” the first study of its kind to look at how the role of advanced primary care, such as the PCMH, may contribute to the success or failure of ACOs. The report was published with support from the Milbank Memorial Fund for the fifth time.
While these two leading models are transforming health care delivery and payment, little research has been done on how these models interact to promote lower costs and better quality for populations. Using qualitative and quantitative methods, researchers at the Robert Graham Center and IBM Watson Health found that
While further research is needed, the report findings suggest that a strong foundation of primary care as embodied in the PCMH is critical to the success of care delivery reform. With 10% of the US population in ACOs and growing, and more than 20% of primary care physicians practicing in PCMHs, the findings have widespread applicability for public and private policymakers who should consider evolving both these programs to increase their effectiveness and improve our health care system.
Resource file (PDF)
Executive Summary (PDF)
The Milbank Memorial Fund is an endowed operating foundation that works to improve the health of populations by connecting leaders and decision makers with the best available evidence and experience.
Primary Care Transformation: Can Competitors Collaborate?
May 8, 2019
The Patient-Centered Primary Care Collaborative Publishes New Evidence Report
July 10, 2017
Assessing the Effects of Primary Care Transformation: Emerging Themes and Practical Strategies to Strengthen the Evidence
March 30, 2016