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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.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
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.
Research Into Practice
June 3, 2019 | Jennifer Lloyd, Stephanie Kissam, Allison Pompey
Multi-Payer Primary Care Transformation
Research into Practice Brief (PDF)
Rising health care costs are a pressing concern for governments, payers, employers, and patients. States have a vested interest in improving health care and controlling health care expenditures as payers (for Medicaid), purchasers (for state employees), regulators, and sponsors or funders of key infrastructure like health information exchanges or medical education. But is state government an effective agent for transforming health care systems within the United States?
That is the question addressed in three recently published Milbank Quarterly articles evaluating Round 1 of the Center for Medicare and Medicaid Innovation’s State Innovation Models (SIM) Initiative. These studies tackle the challenge of evaluation from different angles. Kissam and colleagues provide an overview of SIM activities in the six participating states, with a focus on where the initiative succeeded and where it failed in meeting initial goals for multi-payer engagement; Beil and colleagues assess efforts to integrate behavioral health and primary care; and Rutledge and colleagues measure the impact of accountable care organizations established with SIM support in the Medicaid programs of four of the states.
Three key themes emerged across these evaluation studies:
This is the first in a new Milbank Memorial Fund series, Research Into Practice, that aims to make the research findings from Milbank Quarterly studies and their policy implications more accessible to policymakers and practitioners.
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.
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