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.
April 15, 2019 | John Kitzhaber, MD, Bruce Goldberg, MD
The Medicaid program. It is the largest item in every state budget. Decisions made regarding its administration can literally have life or death consequences for citizens. And enrollments and program demands are growing. Complex policy and political choices regarding Medicaid may get a lot of press, but Medicaid’s management challenges may well be more important. To explain the significance of these challenges, the Milbank Memorial Fund turned to a former governor and former director of a state health and human services agency—and asked them to draw on their own experience to help the nation’s governors understand why focusing on Medicaid management is so important.
In this issue brief, John Kitzhaber, MD, former three-term governor of Oregon, and Bruce Goldberg, MD, who served two Oregon governors as the director of the Office for Oregon Health Policy and Research, outline why strong Medicaid management matters and the key attributes needed for that management. Speaking directly to governors, the authors spell out why greater state investment in Medicaid administration is critical to attracting and retaining the talent needed to ensure that the program is flexible and innovative, fiscally responsible, and stable.
Resource file (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.
The Role of State Medicaid Directors: A Leadership Imperative
September 28, 2015