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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.
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The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
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Alan B. Cohen,
The turbulent events of the past year have highlighted the health consequences of systemic racism in the United States and compelled our editorial… More
Marcella Alsan, Amy N. Finkelstein,
From Scurvy to Streptomycin to Social Policy
Their cases were as similar as I could have them.
—James Lind, 17531
With deep roots in clinical… More
Shenam Ticku, Jane Barrow, Ralph Fuccillo, John E. McDonough,
The 2000 Surgeon General’s report identified the state of oral health in America as an issue of major concern, highlighting significant disparities… More
Ashley Schram, Tessa Boyd-Caine, Suzie Forell, Fran Baum, Sharon Friel,
In the field of public health, the law and legal systems remain a poorly understood and substantially underutilized tool to address unfair or unjust societal conditions underpinning health inequities. The aim of our article is to demonstrate the value of expanding from a social model of health to a sociolegal model of health and empowering health actors to use the law more strategically in the pursuit of health equity. More
Kathryn E. Gunter, Monica E. Peek, Jacob P. Tanumihardjo, Evalyn Carbrey, Richard D. Crespo, Trista W. Johnson, Brenda Rueda-Yamashita, Eric I. Schwartz, Catalina Sol, Cody M. Wilkinson, Jo Wilson, Emily Loehmer, Marshall H. Chin,
In this study, Kathryn E. Gunter of University of Chicago and colleagues explore the experiences of eight grantee organizations from the Bridging the Gap: Reducing Disparities in Diabetes Care initiative sponsored by the Merck Foundation, which aims improve diabetes outcomes by transforming primary care and addressing social needs within evolving payment methods. The authors find that current payment mechanisms for health care services do not adequately support critical up-front investments in infrastructure to address medical and social needs, nor provide sufficient incentives to make addressing social needs a priority More
Lorcan Clarke, Michael Anderson, Rob Anderson, Morten Bonde Klausen, Rebecca Forman, Jenna Kerns, Adrian Rabe, Søren Rud Kristensen, Pavlos Theodorakis, Jose Valderas, Hans Kluge, Elias Mossialos,
In 2018, the Declaration of Astana renewed goals set forth 40 years earlier by the World Health Organization and the United Nations’ Children Fund regarding the importance of primary health coverage in achieving universal health coverage. However, policymakers are often unclear how best to use primary care resources for maximum economic impact.
In this overview of systemic reviews, Lorcan Clarke from the London School of Economics and Trinity College Dublin and colleagues finds that specific task shifting among different health care workers, telemedicine, longer primary care consultations, and pay for performance mechanisms are some of the strategies that can have positive economic effects. More
Betsy Q. Cliff, Anton L. V. Avanceña, Richard A. Hirth, Shoo-Yih Daniel Lee,
Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on Choosing Wisely guidelines can reduce the use of low-value services. They also found that multicomponent interventions targeting clinicians are currently the most effective types of interventions. More
Petra W. Rasmussen, David Anderson,
Context: The Affordable Care Act (ACA) individual health insurance marketplaces rely on purchasers to make informed choices to impose price and… More
Jeff Niederdeppe, Liana B. Winett, Yiwei Xu, Erika Franklin Fowler, Sarah E. Gollust,
Investments in early childhood education can have a long-lasting impact on health and well-being. This study by Jeff Niederdeppe of Cornell University and colleagues compared types of messages to garner public support, including simple advocacy messages, policy narratives (short stories with a setting, characters, and a plot that offers a policy solution to a social problem), and inoculation messages (messages designed to prepare audiences for building resistance to opposing messages). The authors found that narrative messages may be particularly effective in persuading individuals inclined to oppose such policies, while inoculation messages may protect favorable child care policy attitudes. More
Denise D. Payán, Paul Brown, Anna V. Song,
In 2012, Colorado and Washington became the first states in the country to legalize marijuana and therefore “serve as quasi-natural experiments to examine how local jurisdictions have responded to state marijuana legalization.” In this study, Denise D. Payán, Paul Brown, and Anna V. Song of the University of California, Merced identified key county policymakers in those states and explored their arguments for or against marijuana facilities. The authors found that several counties in both Colorado and Washington have made substantial marijuana facility policy modifications since state legalization. More
Liam Bendicksen, Benjamin N. Rome, Jerry Avorn, Aaron S. Kesselheim,
Context: Rising prescription drug costs are consuming a growing proportion of state and private budgets. In response, lawmakers have experimented with… More
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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.