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Alan B. Cohen,
The editor outlines the issue and introduces the Perspective, a new article type intended to spark collegial debate on an important topic. More
Lawrence O. Gostin,
Sandro Galea, Margaret E. Kruk,
Joshua M. Sharfstein,
Gail R. Wilensky,
John E. McDonough,
Hugh Alderwick, Laura M. Gottlieb,
Health care systems and policymakers are increasingly exploring strategies to help address patients’ social circumstances, such as their employment status or housing conditions. But there is much confusion around the terms and concepts that pertain to the social determinants of health. More
Parke Wilde, Jennifer L. Pomeranz, Lauren J. Lizewski, Mengyuan Ruan, Dariush Mozaffarian, Fang Fang Zhang,
In recent years, the World Health Organization, the World Cancer Research Fund, and the American Cancer Society have each concluded that processed meats are probably carcinogenic. In this article, the researchers examine the scientific evidence around the health effects of processed meat, the policy process of reviewing and summarizing that evidence in the Dietary Guidelines for Americans, and the influence of the beef and pork industries. More
Public health advocates have used tobacco industry “denormalization,” or portraying tobacco product manufacturers as a deadly industry, to develop tobacco-control policies around the world. For this article, the author found that the tobacco companies were able to threaten regulations through international trade and investment laws because these laws treat tobacco firms like other commercial interests. More
Valarie K. Blake, Mark L. Hatzenbuehler,
Antidiscrimination laws are often underenforced and are sometimes conceptualized by courts and lawmakers in ways that are too narrow to fully reach all forms of stigma and all individuals who are stigmatized. To address these problems, the authors offer some concrete solutions to advance the role of law in reducing stigma-based inequalities. More
In 2013, the federal government challenged US states to reform health care delivery and payment methods in order to improve health while also lowering health care costs. Six states—Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont—rose to the challenge. Through Round 1 of the State Innovation Models (SIM) initiative, the Center for Medicare and Medicaid Innovation of the Centers for Medicare and Medicaid Services provided the states with more than $250 million to support the implementation of new clinical and payment models. This issue of The Milbank Quarterly contains the first three papers evaluating this effort. More
Stephanie M. Kissam, Heather Beil, Christina Cousart, Leslie M. Greenwald, Jennifer T. Lloyd,
Context: In 2013, six states (Arkansas, Massachusetts, Maine, Minnesota, Oregon, and Vermont) received $250 million in Round 1 State Innovation Models… More
Heather Beil, Rose K. Feinberg, Sheila V. Patel, Melissa A. Romaire,
Context: Increasing numbers of states are looking for ways to address behavioral health (BH) conditions among their residents. The first round of the… More
Regina I. Rutledge, Melissa A. Romaire, Catherine L. Hersey, William J. Parish, Stephanie M. Kissam, Jennifer T. Lloyd,
Context: As state Medicaid programs consider alternative payment models (APMs), many are choosing accountable care organizations (ACOs) as a way to… More
Research Into Practice
Rising health care costs are a pressing concern for governments, payers, employers, and patients. States have a vested interest in improving health… 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.