The Fund supports several networks of state health policymakers to help identify, inspire, and inform policy leaders.
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.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
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.
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.
October 2019 Debra J. Lipson, Erin Weir Lakhmani,
In the “duals demo,” enrollment in integrated Medicare–Medicaid plans among eligible beneficiaries ranged from a high of 67% in Ohio to a low of 4% in New York. To discover the secrets to successful enrollment in states like Ohio, Mathematica researchers conducted a study of how state program design, concurrent state programs and policies, health plan markets, and other factors affected enrollment over time in all 10 participating states. More
August 2019 Brittany Lazur, Andrea Bennett, Valerie King,
The rate of telehealth use, in which patients receive a virtual health care visit in the home or other nonclinical setting, has outpaced the… More
May 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… More
May 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. More
April 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. More
January 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. More
May 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? More
February 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. More
April 2017 W. David Helms, PhD,
In 2016, the original directors of the state-based insurance exchanges came together to reflect on their experiences implementing this option under the Affordable Care Act. This issue brief summarizes their collective lessons, using the state health capacities framework developed in a report published earlier this month on “State Policy Capacity and Leadership for Health Reform.” How leaders make decisions and implement new health polices is especially timely given the continuing debate about changes to the Affordable Care Act. More
February 2017 Gary Young, JD, PhD,
In the last few years, hospitals have had to respond to changes in the health care environment. Some of the challenges they’ve faced involve… More
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An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.