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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 total costs of care.
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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.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
Rather than distribute funding to states as the tobacco master settlement agreement did, the authors of this Opinion propose that 70% of all resources from a potential opioid agreement should be used to create a new national nonprofit that would allocate resources to communities most affected by or at risk of being impacted by the opioid crisis. More
Lantz argues that super-utilizer interventions are cost-containment strategies that can help patients who are in critical need. To address its fundamental problems, the US needs broader solutions that are “aimed at the macro- and community-level systems and institutions that drive social, political, and economic disadvantage and health inequities.” More
Two decades ago, seeing a windmill while driving through the countryside was a rare, special event. I can remember my 11 year‐old daughter… More
As with long-term care and other health care issues, Washington State is out in front with its plan to test a public option (of sorts) in the… More
In 2019, Washington became the first state to pass legislation creating a public long-term care insurance program. In doing so, we are leading the way… More
High rates of infant mortality are well documented in the United States, compared with those of peer nations. Shocking and unacceptable rates of… More
Primary care workforce challenges are particularly acute in Delaware, a small state with high per-person heath care spending but poor outcomes on measures such as oral health, infant mortality, and obesity rates. Yet, in a new Milbank Quarterly guest opinion, Delaware’s Health and Human Services Secretary Kara Odom Walker, a family physician, says that any solution that lowers costs and improves quality will require a foundation of enhanced primary care. More
Last month, a three-judge panel of the US Court of Appeals for the Ninth Circuit sided with the federal government in a surprise decision to allow for the immediate implementation of the Trump Administration’s Title X “gag” rule. The rule blocks patients seen by health providers with Title X family planning funding from receiving information on or referrals for abortion. More
Fifty years ago this December, the Vietnam Draft Lottery began, setting in motion a natural experiment that, according to Princeton University’s Dalton Conley and Willamette University’s Tim Johnson, has helped illuminate the causes of “deaths of despair” and other public health challenges. More
Last summer, The Business Roundtable, the nonprofit association of CEOs of major US companies, issued a statement calling the interests of workers, customers, communities, and other stakeholders as important as the interests of a company’s shareholders. In a new Opinion, Harvard University’s John E. McDonough says the change is noteworthy. Yet he observes that only 11 of the 183 CEOs who signed the statement head organizations in the health sector. More
To contain the prices of high-cost biologics, Miller and Wilensky propose use of either a reference price—based on “standard of care therapy” as opposed to an international pricing index—or abbreviated exclusivity for drugs approved via the accelerated pathway. More
Last spring, the National Academies of Sciences, Engineering, and Medicine published a study on adolescent development underscoring the need for policies and practices that help realize the promise of adolescence — rather than just contain its risks. More
To date, 37 states have expanded Medicaid eligibility through the Affordable Care Act. However, as Boston University’s David K. Jones points out in a new early view Milbank Quarterly Opinion, a block of states in the Deep South continues to resist. More
Medicaid has been under pressure for decades to show that it improves health outcomes, and this scrutiny has only increased with the current Medicaid expansion debate. In an early view opinion, new contributing writer Heidi Allen of Columbia University’s School of Social Work explains that Medicaid also faces problems related to stigma, and the fact it is funded by state tax dollars pits it against other policy sectors like education. 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, historical, legal, and ethical dimensions of health and health care policy.