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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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Context: The complexity of integrated care and the need for transferable evaluation insights ask for a suitable evaluation paradigm. Realist… More
Context: State and federal policymakers considering introduction of a health insurance “public option” can learn from Washington State, which… More
Context: Health care delivery is now inextricably linked to the use of electronic health records (EHRs), which exert considerable influence over… More
Context: Although it is recognized that aspects of US state environments impact the likelihood that older adults age successfully, there is currently… More
Twelve states have not yet expanded Medicaid under the Affordable Care Act. In a new Perspective, Will Boles of Louisiana State University Health Sciences Center School of Medicine, along with Ruth Kennedy, Emma Siewert, Diane Rowland, Barbara Lyons, and Rebekah E. Gee, suggest that Louisiana can serve as a model for new Medicaid expansion states seeking to rapidly enroll people within a limited administrative budget. More
Low birth weight and infant mortality rates vary among place and racial group in the United States, with economic resources being a likely fundamental contributor to these disparities. The goals of this study were to examine time-varying county median income as a predictor of LBW rates and Black-White LBW disparities and to test county prevalence and racial disparities in maternal sociodemographic and health risk factors as mediators. More
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
As this issue of the Quarterly goes to press, the global struggle with COVID-19 is midway through its second year. Infection rates are surging once… More
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
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
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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.