Publications

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.

Report

In Support of Family Caregivers: A Snapshot of Five States

June 19, 2019 | Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
In a new report cosponsored by The John A. Hartford Foundation and the Milbank Memorial Fund, Johns Hopkins Bloomberg School of Public Health researchers highlight five states—Washington, Hawaii, Maine, Minnesota, and Tennessee— that have advanced policies and programs in support of family caregivers.
Research Into Practice

States Tackling Health Care System Transformation with Federal Support

June 3, 2019 | Jennifer Lloyd, Stephanie Kissam, Allison Pompey
Rising health care costs are a pressing concern for governments, payers, employers, and patients. States have a vested interest in improving health…
Reforming States Group Publication

Supporting Rural Health: Practical Solutions for State Policymakers

May 28, 2019 | Emily Whelan Parento
Many health care challenges are exacerbated in rural areas, such as limited access to services, provider shortages, and the prevalence of avoidable…
Issue Brief

Primary Care Transformation: Can Competitors Collaborate?

May 8, 2019 | Noam N. Levey
This issue brief attempts to assess how participating payers in Comprehensive Primary Care (CPC) initiative feel about the program and its progress by exploring the perspective of payers in three distinct regional markets in the Comprehensive Primary Care Plus (CPC+) program: Colorado, Oklahoma, and Greater Philadelphia.
Case Studies

How Community Health Centers Are Addressing the Opioid Epidemic

April 17, 2019 | Robert M. Hayes, Joseph Squitieri, DO
Last month, the Milbank Memorial Fund and the United Hospital Fund released a report, The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families, which made clear that the magnitude of the epidemic’s impact is much greater than realized. This case study, a companion to the report, explores how community health centers are addressing the opioid epidemic.
Issue Brief

Investing in Medicaid Management: What Governors Need to Do

April 15, 2019 | John Kitzhaber, MD, Bruce Goldberg, MD
In this issue brief, John Kitzhaber, MD, former governor of Oregon, and Bruce Goldberg, MD, former director of the Oregon Office for Health Policy and Research, outline why strong Medicaid management matters. Speaking directly to governors, the authors spell out why greater state investment in Medicaid administration is critical to attracting and retaining the talent needed to ensure that the program is flexible and innovative, fiscally responsible, and stable.
Milbank-Supported Report

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States

March 20, 2019 | Stephanie Anthony, Arielle Traub, Sarah Lewis, and Cindy Mann, Manatt Health Strategies; Alexandra Kruse, Michelle Herman Soper, and Stephen A. Somers, PhD Center for Health Care Strategies
As the population ages, one of the greatest challenges facing state officials is how to organize and pay for long-term services and supports (LTSS) for low-income elderly and disabled adults—the most complex, expensive, and fastest-growing group covered by Medicaid. To help address this challenge, a toolkit for state leaders published in 2017 has been updated. It describes a menu of promising strategies and best practices for states to advance person-centered, cost-effective LTSS options through their Medicaid programs.
Reforming States Group Publication

The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families

March 7, 2019 | Suzanne C. Brundage, Carol Levine
Opioid addiction is well recognized as a national crisis, but its impact on children and adolescents whose parents are addicted has received little attention. This report, published by the United Hospital Fund (UHF), with support from the Milbank Memorial Fund and the Alfred P. Sloan Foundation, makes clear that the magnitude of the epidemic’s impact is much greater than realized.
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.