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Alan B. Cohen,
This issue of the Quarterly features scholarly opinions on a range of important issues, including policy innovations in Washington State, infant… More
Our Opinion section features some of the best minds currently working to improve the public’s health.
James C. Capretta,
David A. Kindig,
Robert P. Pack, Cheryl G. Healton, Sandro Galea,
Paula M. Lantz,
Although it has been 84 years since The Milbank Quarterly published Edgar Sydenstricker’s “The Changing Concept of Public Health,” the article’s emphasis on preventing poor health outcomes by bolstering economic security, safe and equitable housing conditions, and access to nutritious food and exercise remains as salient as ever. More
Gerald M. Oppenheimer, Ronald Bayer,
In 2017, a large randomized controlled trial expected to resolve a 40-year controversy over the impact of moderate drinking on heart disease was halted following news reports about its industry funding. In a new Perspective, Gerald M. Oppenheimer and Ronald Bayer of Columbia University trace the history of that controversy. More
Amanda I. Mauri, Tarlise N. Townsend, Rebecca L. Haffajee,
States have implemented a number of preventive measures to address the health consequences of opioid misuse and addiction. In a new review of evaluations of these policies, the University of Michigan’s Amanda Mauri and colleagues conclude that robust prescription drug monitoring programs reduce opioid prescribing if they include features like requiring practitioners to check an electronic database before prescribing and obtaining prior authorization for high-risk opioids. More
Joel C. Cantor, Sujoy Chakravarty, Jose Nova, Taiisa Kelly, Derek Delia, Emmy Tiderington, Richard W. Brown,
Rutgers Center for State Health Policy researchers found that homeless adult Medicaid beneficiaries in New Jersey have higher levels of health care needs and are more likely to visit the emergency department or require inpatient admissions. They conclude that offering tenancy support services that help homeless adults achieve stable housing may be a cost-effective strategy for improving the health of this vulnerable population while reducing spending on avoidable health care interventions. More
Derek Carr, Sabrina Adler, Benjamin D. Winig, Jennifer Karas Montez,
This study finds an equity-first “preemption” framework can help ensure that local governments can innovate to address health inequities, while also allowing states and the federal government to block local laws or policies that are likely to create or perpetuate inequities. More
Patrick Bernet, Gulcin Gumus, Sharmila Vishwasrao,
A 10% increase in pregnancy-related public health spending led to a 13.5% decline in maternal mortality rates among black mothers and a 20% reduction in the black-white maternal mortality gap in Florida between 2001 and 2014. More
Carlye Burd, Stephanie Gruss, Ann Albright, Arielle Zina, Patricia Schumacher, Dawn Alley,
The Diabetes Prevention Program study published in 2002 showed that lifestyle changes—such as behavioral counseling, physical activity, and weight loss—could lower the risk of type 2 diabetes for high-risk adults. Eight years later, the Centers for Disease Control and Prevention used this research to establish and then spread the National Diabetes Prevention Program, which is now covered by Medicare and private payers. More
Sander Steenhuis, Jeroen Struijs, Xander Koolman, Johannes Ket, Eric van der Hijden,
Sander Steenhuis of the Talma Institute at Vrije Universiteit Amsterdam and colleagues report on their systematic literature review of the payment model, in which they identify and categorize 53 key elements that affect the bundled payment contract development process. 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.