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.

  • Issue Brief

    Primary Care Transformation: Can Competitors Collaborate?

    May 8, 2019 | Noam N. Levey

    Executive Summary The federal Comprehensive Primary Care (CPC) initiative, led by the Centers for Medicare and Medicaid Services (CMS), represents…
  • 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.
  • 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 But what happens when a COPA is repealed? This issue brief looks at the COPA law in North Carolina that was enacted in 1993 and repealed in 2015.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.
  • 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.
  • Issue Brief

    Lessons from State-Based Exchanges for Future Health Reform Initiatives

    April 20, 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.
  • Issue Brief

    Hospitals in the Post-ACA Era: Impacts and Responses

    February 23, 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…
  • Issue Brief

    Coordinating Access to Services for Justice-Involved Populations

    August 11, 2016 | Christian Heiss, MPH, Stephen A. Somers, PhD, and Mark Larson, Center for Health Care Strategies

    State policymakers continue to look for ways to improve responses for people with behavioral health and substance abuse conditions. The challenges to…
  • Issue Brief

    Medicaid Coverage of Social Interventions: A Road Map for States

    July 25, 2016 | Deborah Bachrach, Jocelyn Guyer, Ariel Levin

    Faced with mounting evidence about the importance of social factors in determining health outcomes, state Medicaid officials are looking for ways to integrate services that address these factors into their coverage, payment, and delivery models.
  • Issue Brief

    When State Leaders and Regional Health Improvement Collaboratives Come Together

    December 7, 2015

    State agencies focused on health policy and regional health improvement collaboratives ought to be able to align their agendas. They both share a…
  • Issue Brief

    Population Health in Medicaid Delivery System Reforms

    March 18, 2015

    There is growing recognition among state policymakers that improving health outcomes is as much about addressing the social determinants of poor…