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, healthy aging, 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.
April 20, 2017
State Health Policy Leadership State Policy Capacity
W. David Helms
Sep 26, 2023
Feb 22, 2023
Mar 15, 2022
Back to Publications
Earlier this month, the Milbank Memorial Fund published a report on State Policy Capacity and Leadership for Health Reform, which looked at the leadership, governance, staff capacity, and resources required for state governments to plan for and implement new health policies. The authors developed a capacity checklist, outlining what’s needed for policymakers as they embark on new health reform initiatives.
Now, in a new issue brief, one of the authors of that report, W. David Helms, looks at a specific opportunity to apply those capacities—namely, the experience of state health policy leaders who were directly involved in creating the state-based insurance exchanges launched in 2013. The paper identifies what the directors believe to be the critical success factors for implementing these exchanges as well as any major state-based health policy implementation activity. These factors include leadership and governance, management of scope, and experience and expertise of core staff.
How leaders make decisions and implement new health polices is especially timely given the continuing debate about changes to the Affordable Care Act and improving health care delivery in the United States. It goes without saying that past experiences provide important lessons for future efforts.
Get the Latest from the Milbank Memorial Fund
An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.