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.
Perspective US Health Care Reform Health Insurance
Robert J. Blendon
John M. Benson
Mary G. Findling
Eric C. Schneider
Back to The Milbank Quarterly
In an increasingly polarized era, one health reform policy stands out for its apparent popularity among both Democrats and Republicans: a public health insurance plan intended to compete alongside private health insurance products (the so-called “public option”).1 Depending on the structure of the policy—whether and how monthly premiums are constrained—a public option could promote more vigorous price competition on the individual market for health insurance. Though the health insurance marketplaces created by the Affordable Care Act (ACA) were intended to promote this type of competition and expand insurance access for people who didn’t receive coverage through an employer or a public program, affordability and inadequate insurance have been persistent concerns (notwithstanding recent expansions of financial assistance under the American Recovery Plan Act and Inflation Reduction Act).2 A nationally representative survey conducted in 2022 found that nearly one-quarter of working-age adults had coverage for a full year but were underinsured, meaning their coverage did not provide affordable access to care (based on deductible size or out-of-pocket medical expenses over the prior year).3 Among those who were uninsured at the time of the survey or had experienced a gap in coverage in the prior year, 46% reported that affordability challenges were the main reason they lacked coverage.
READ THE FULL TEXT ON WILEY ONLINE
Get the Latest from the Milbank Memorial Fund
The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy.