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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 on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs.
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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 nonpartisan foundation focused on improving the health of communities and entire populations.
August 13, 2018
Primary Care Transformation
Sep 9, 2021
May 3, 2021
Apr 29, 2021
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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.
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