The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
A bipartisan group of state health policymakers from both the executive and legislative branches who are focused on improving population health.
Networks of state officials, advocates, and others aiming to invest in and transform primary care.
A program dedicated to advancing state-based efforts to make health care more affordable for residents, employers, and states.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
A leadership development program for early and mid-career state government officials who are committed to improving the health of all people in their communities.
A leadership program for senior state government officials who are committed to improving population health.
The Fund focuses on creating an affordable health care system built on strong primary care and partnerships that improve health outcomes for all.
Improving state leaders’ ability to enact and implement evidence-based health policies.
Advancing policies that create a more prevention- and primary care-oriented health system.
Improving population health through policies that contain health care cost growth.
Our state health policy resources offer relevant data analysis and best practices.
The Fund publishes reports, issues briefs, and case studies on state health policy issues.
Short takes on health policy issues from Milbank staff and guest authors.
Insights from Milbank President Debra Lubar on state health policymaking.
Reported articles and Q&As on timely health policy issues, as well as foundation updates.
Milbank Memorial Fund and Milbank Quarterly webinars featuring state health policymakers and researchers.
Updates and expert contact information for reporters.
The Milbank Memorial Fund is a private foundation that works to improve population health and health equity.
March 1976 (Volume 54)
Quarterly Article
Roger A. Reynolds
Sep 25, 2026
Sep 23, 2026
Sep 22, 2026
Back to The Milbank Quarterly
Utilization, cost, and productivity patterns at neighborhood health centers (NHCs) are examined on the basis of data from 82 centers. Minority groups and residents of the South and rural areas are found to have achieved levels of care and benefits closer to equality with other groups at NHCs than has been their health care experience generally. Continuity and comprehensiveness of care and the use of paramedical personnel are shown to be important contributory factors to utilization of NHCs. The impact of alternative cost-saving devices at NHCs is considered. It appears unlikely that professional productivity can be markedly improved. Increasing third-party payments is the most likely means of reducing dependence on operating grants without deleterious effects on utilization. The problem NHCs have had in maintaining stable professional staffs is shown to be a problem which needs further attention if the program is to expand.
Author(s): Roger A. Reynolds
Download the Article
Read on JSTOR
Volume 54, Issue 1 (pages 47–82) Published in 1976