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The Milbank Memorial Fund has published The Milbank Quarterly, a peer-reviewed journal of population health and health policy since 1923. It has commissioned and published reports since early in the last century and, beginning in the early 1990s, published a series called Milbank Reports. From 1999 to 2013, the Fund co-published with the University of California Press a series of books titled California/Milbank Books on Health and the Public. The Fund currently publishes reports, issue briefs (shorter papers), case studies, and Milbank-Supported Reports, reports published with partner organizations.

  • Issue Brief

    To Oversee or Not to Oversee? Lessons from the Repeal of North Carolina’s Certificate of Public Advantage Law

    January 17, 2019 | Erin C. Fuse Brown

    A certificate of public advantage (COPA) is a tool used by states to permit and oversee hospital mergers that create monopoly powers. A few months ago, we published a paper about the use of a COPA in Tennessee and Virginia. But what happens when a COPA is repealed? This issue brief looks at the COPA law in North Carolina that was enacted in 1993 and repealed in 2015. It provides a cautionary tale for other states considering COPAs.

  • Report

    Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage

    September 26, 2018 | Erin C. Fuse Brown

    How are states responding to the growing trend of hospital system mergers? Some states have responded by issuing certificates of public advantage (COPAs), a legal mechanism through which they can approve mergers that reduce or eliminate competition in return for commitments to make public benefit investments and control health care cost growth. In effect, a COPA creates a state-monitored monopoly—or a public utility model of health care delivery. This report describes the experience of Tennessee and Virginia.

  • Case Studies

    Population Health: The Translation of Research to Policy

    September 17, 2018 | Robert Wood Johnson Foundation Health & Society Scholars, edited by Robert A. Hiatt

    These case studies use six diverse examples of science to policy translation generated by Robert Wood Johnson Health & Society Scholars in the HSS program from 2003 to 2016. Because the HSS program was discontinued in 2017, the Milbank Memorial Fund published these case studies in the hope that many audiences, including students, would use them to learn about the connection between research, decision making, and policy.

  • Milbank-Supported Report

    Advanced Primary Care: A Key Contributor to Successful ACOs

    August 13, 2018

    Patient-centered medical homes (PCMHs) and accountable care organizations (ACOs) were often considered to be competing models for reforming health care delivery. Not now. It’s increasingly apparent that one helps the other. That’s the main finding from the Patient-Centered Primary Care Collaborative 2018 evidence report, the first study of its kind to look at how the role of advanced primary care, such as the PCMH, may contribute to the success or failure of ACOs.

  • Case Studies

    Three Projects Receive Inaugural State and Local Innovation Prize

    July 19, 2018

    In Chicago, they are preventing lead poisoning in young children. In Chatham County, Georgia, they are building a continuity of care system for jail inmates, and in Washington State, they are using multiple data sets to coordinate care for dual eligibles. Meet the winners of the inaugural Milbank Memorial Fund and AcademyHealth State and Local Innovation Prize.

  • Report

    Bundling, Benchmarking, and Beyond: Paying for Value in Home- and Community-Based Services

    July 11, 2018 | Andrea D. Bennett, Pam Curtis, and Curtis S. Harrod

    As the US population ages, the demand for long-term care options has grown. Special focus has been on Medicaid programs, which pay for most long-term…

  • Reforming States Group Publication

    Behavioral Health Integration and Workforce Development

    May 23, 2018 | Rachel Block

    Providers, payers, and state policymakers are moving to implement behavioral health integration (BHI) models as evidence of their effectiveness builds. But many states face an obstacle—the lack of a health care workforce that has the legal authority, training, and skills necessary to practice in these new models. How can states accelerate the development of a BHI workforce?

  • Report

    Views from the Heartland: Prospects for Bipartisanship in Health Reform

    April 26, 2018 | David K. Jones

    Last year’s “repeal and replace” fight in Congress underscored how deep—and deeply confusing—disagreements over health care policy can be. Author David K. Jones traveled to Colorado and Kansas to find out what Republican and Democrat legislators were concerned about now when it comes to health reform. What does the bipartisan conversation look like in these states?

  • Milbank-Supported Report

    Creating An Age-Friendly Public Health System: Challenges, Opportunities, and Next Steps

    March 30, 2018 | Amanda J. Lehning, Anne De Biasi

    This report summarizes an October 2017 meeting held by Trust for America’s Health, with support from the John A. Hartford Foundation, during which national, state, and local public health officials came together with aging experts, service providers and others to discuss how public health could contribute to an age-friendly society and improve the health and well-being of older Americans. The convening resulted in a Framework for an Age-Friendly Public Health System, which is described in the report.

  • Issue Brief

    All for One and One for All: Developing Coordinated State Opioid Strategies

    February 22, 2018 | Noam N. Levey

    The opioid epidemic has spawned numerous state efforts to develop strategies to combat the crisis. While each strategy on its own may be worthwhile, effectively coordinating these efforts will likely prove to be the key to reducing the number of families and communities damaged by opioid abuse. Summarizing the critical experience of senior officials working on the crisis, this issue brief identifies the key ingredients in a coordinated state opioid strategy.