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Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers.
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Editor
Alan B. Cohen
Publisher
Christopher F. Koller
Managing Editor
Tara Strome
2-year Impact Factor: 6.6 Journal Citation Reports® 2022 Rankings: 3/87 (Health Policy & Services); 8/105 (Health Care Sciences & Services) 5-year Impact Factor: 8.964
This summer, The Milbank Quarterly will publish a special issue of articles that address state strategies to improve mental and behavioral health, including approaches to strengthening the behavioral health workforce, leveraging AI to address the overdose crisis, and much more. Individual articles are publishing on a rolling basis.
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Early View Original Scholarship
By: Marco Thimm-Kaiser, Katherine Keyes,
The potential adverse effects of social media use for adolescents have received substantial attention. In response, a growing number of state-level social media regulations are emerging in the United States. These policy interventions are being implemented in the context of mixed scientific evidence, forcing policymakers to weigh the need for proactive regulation against the limitations of extant research. We explore policymakers’ publicly stated rationales for social media regulations and contextualize their claims within extant scientific literature. More
By: Devin English, Ty A. Robinson, Lori S. Hoggard, Felix M. Muchomba, Sharifa Z. Williams, Joel C. Cantor, Paul R. Duberstein, Brett M. Millar,
Reducing police expenditures and increasing housing expenditures may decrease Black–White inequities in years of potential life lost to suicide and police-perpetrated killing. More
By: Annette M. Dekker, Adrian Yen, Andrea Larco Canizalez, Yesenia Perez, David Salazar, Bita Ghafoori, Dorit Saberi, Breena R. Taira,
The Trauma Recovery Center (TRC) model brings comprehensive care to underserved victims of crime, with improvements in PTSD symptoms and quality of life. Funding concerns were the central limitation in model implementation according to TRC staff. More
By: Brent D. Fulton, Daniel R. Arnold, Jordan M. Wolf, Richard M. Scheffler,
This study identifies states that have established health care cost commissions (HCCCs), examines state-level political and economic factors associated with their establishment, and reports which of these states have also enacted health care competition-related laws that further equip these commissions. More
Early View Perspective
By: Dennis P. Scanlon, Jillian B. Harvey, Cheryl L. Damberg, Pratiksha Mahendra Bhagat, Yunfeng Shi,
In this article, we discuss why reliance on transaction prices and market share alone is not sufficient for effective health policy development and regulatory enforcement in health care markets that are imperfectly competitive. We discuss the need to better measure the output produced by health care suppliers and to capture the costs of producing that output. More
By: Rebecca Brooks Smith, Gabriella Aboulafia, Benjamin D. Sommers,
From the pre- to post-ACA period, Medicaid take-up rates among eligible individuals increased, and these gains persisted during the beginning of the unwinding period, potentially reflecting increased outreach efforts under the Biden administration. However, areas of vulnerability remain among young adults, working adults, AI/AN individuals, and those in rural areas. More
By: Raquel Burgess, Tanja Srebotnjak, Christine Lin, Lawrence Grierson, Daniel C. Esty, Yusuf Ransome, Nicholas Freudenberg,
This article seeks to advance discussion on two key priorities related to the commercial determinants of health (CDH): 1) the development of mechanisms to measure and monitor the practices of commercial entities, and 2) the development of effective policy recommendations for addressing the CDH. More
By: Sarah E. Gollust, Kristina Medero, Quin Mudry Nelson, Ceron Ford, Erika Franklin Fowler, Jeff Niederdeppe, Rebekah H. Nagler,
Public health communicators often discuss health equity–related concepts, but it is not clear what strategies they use or what resources can support them to overcome challenges they face. More
By: Kate McEvoy, Hannah Maniates,
Medicaid has both greatly advanced the scope and integration of mental health and substance use disorder services among payers and remains a work in progress with respect to scaling and funding these services across the country. More
By: Mark Schlesinger, Deepon Bhaumik,
Context: Health insurance reform in the United States has focused on expanding enrollment, a goal inhibited by complex insurance provisions. Research… More
By: Rachel Donnelly, Mateo P. Farina,
Mental health (e.g., anxiety, depression) continues to be a major public health concern in the United States that impacts millions of individuals, their families, and communities. Approximately 21% of adults 18 years and older, or 55 million adults, reported symptoms of recent depression in 2022, demonstrating the wide reach of mental health challenges. More
By: Jonathan Purtle, Amanda I Mauri, David Frederick,
In this article, we provide an overview of emergent models for funding crisis systems in the United States and the policy and service contexts related to these models. Our review assesses the status of crisis system financing recommendations proposed by Hogan and Goldman proposed in 2020 and complements prior reports about financing crisis services. More
By: Briana S. Last, Jane M. Zhu,
See all articles in the special issue, Mental Health and Substance Use Challenges Facing the United States: What Can State Policymakers Do? Access… More
By: Jane M. Zhu, Ruth Rowland, Inga Suneson, Deborah J. Cohen, K. John McConnell, Daniel Polsky,
Behavioral health access gaps are well documented in Medicaid, in which managed care now covers most enrollees, and for which there are typically fewer options for going out-of-network for care. Despite the growing role of managed care organizations (MCOs) in financing and delivering behavioral health services, little is known about MCO levers that can improve access to care. More
By: Constanza Hurtado-Acuna, Michael S. Rendall,
Context: The 2015 to 2020 Delaware Contraceptive Access Now (DelCAN) initiative was motivated by Delaware’s having among the highest rates of… More
By: Molly Knowles, Aditi Vasan, Ziwei Pan, Judith A. Long, Shreya Kangovi,
Context: Community health worker (CHW) programs represent a key strategy for addressing social and structural drivers of health and have the… More
By: Luke E. Barry, Sanjay Basu, May Wang, Roch A. Nianogo,
Context: Evidence suggests Medicaid expansion has improved cardiovascular disease (CVD) outcomes, especially among those of lower socioeconomic… More
By: Brendan Saloner,
This Perspective examines the role of Medicaid in the innovation of substance use disorder (SUD) treatment. In 2023, an estimated 49 million Americans met criteria for an SUD and more than 100,000 people died of a drug overdose. Compared with the general population, people with SUD experience worse self-rated health, a higher burden of other chronic diseases, and more hospital care. More
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May 29, 2025
March 2025
Read the Current Issue
Lawrence O. Gostin
Alexandra Finch
Vincent Guilamo-Ramos
Marco Thimm-Kaiser
Adam Benzekri
Alida Bouris
Sara Rosenbaum
Marc A. Cohen
Jane L. Tavares
Alison Barkoff
See All Opinions
A series highlighting landmark articles published by the journal over the course of its 97‐year history with commentaries from noted scholars on key lessons relevant to the current policy environment.
Information, instructions for authors, publication policies, and additional resources for authors interested in submitting manuscripts to The Milbank Quarterly.
The Milbank Quarterly is pleased to present compilations of research articles, perspectives, and scholarly opinions published during the past two years. All articles are open access through December 2020.