The Fund supports several networks of state health policymakers 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 on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and 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 nonpartisan foundation focused on improving the health of communities and entire populations.
September 28, 2015
State Health Policy Leadership Medicaid
Mar 15, 2022
Feb 3, 2022
Oct 21, 2021
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Developing effective Medicaid leadership and organizational structures is one of the paramount challenges facing governors and legislatures. Medicaid has grown from a program that, in 1987, comprised 10% of state budgets to one that in 2013, comprised 25% of state budgets.
The size and scope of these programs raise questions about the way they are run and organized. In this report, Andy Allison, a former Medicaid director in two states, looks at current trends in Medicaid policy, organization, and leadership—including a review of corporate management theory and practice—and examines the program’s organization in state government and the roles, responsibilities, and expectations of program leadership.
Failure to closely examine Medicaid’s organization and leadership will misspend taxpayer contributions, hinder needed health care reform, and compromise the health care of a significant portion of each state’s citizens, explains Christopher F. Koller, President of the Fund.
It is our hope that this report will accelerate the conversation about the effectiveness of Medicaid leadership and contribute to an issue of vital importance to the health of states.
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An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.