The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
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 is a foundation that works to improve population health and health equity.
Milbank State Leadership Network State Health Policy Leadership
July 2025 Christopher F. Koller, Morgan McDonald,
Liz Reyer ran for state representative in Minnesota to change things for the better, not to fear for her life or those of her family members. But the murder of her fellow representative and party leader Melissa Hortman and her husband, and the shooting of her cross-chamber colleague Sen. John Hofmann and his wife, on June 15 has brought the unthinkable to the realm of the possible. More
Report Sustainable Health Care Costs
June 2025
Download consensus definitions and methodologies for health care cost driver analyses and cost growth target programs. More
Issue Brief Sustainable Health Care Costs
June 2025 Grace Flaherty, January Angeles,
This issue brief examines how three of these states —Massachusetts, Oregon, and California — have strengthened cost growth target accountability. It also highlights five states — California, Connecticut, Delaware, Massachusetts, and Oregon — that have leveraged their cost growth targets in other health care oversight programs. More
In collaboration with the Interdisciplinary Association for Population Health Science, The Milbank Quarterly invited population health researchers to… More
Issue Brief State Health Policy Leadership
June 2025 Brianna Van Stekelenburg, Rebecca G. Whitaker, Samantha Repka, Emily Proehl, Catie Armstrong, Aparna Higgins, Elizabeth Kasper, Leonard A. Croom, Janelle White, Hilary Campbell, Robert S. Saunders,
Many health providers are interested in making the shift to value-based payment (VBP), as these models can give greater flexibility in providing whole-person care, but administrative burden, variation in payer contracts, and a rapidly changing policy environment can impede their participation and success in these models. Streamlining the administration of payment models and adding supports like data sharing across payers and providers can make it easier for organizations by enabling more flexibility in care delivery, timely access to actionable information, and increased support for the health care workforce. More
Sustainable Health Care Costs
June 2025 Mary Louise Gilburg,
In a new Health Affairs Forefront article, Milbank Memorial Fund president Christopher Koller discusses the role of health care cost growth target programs in spurring policy change to lower cost growth. More
June 2025 Jessica Mar, Sarah Kinsler,
In 2024 and 2025, Bailit Health convened two work groups to establish consensus definitions and methodologies for health care spending analyses with support from the Peterson-Milbank Program for Sustainable Health Care Costs. More
Fact Sheet Milbank State Leadership Network State Health Policy Leadership Sustainable Health Care Costs
June 2025 Mary Louise Gilburg, Morgan McDonald,
The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to discuss factors contributing to rising health care costs as well as opportunities for states to slow spending growth and make health care more affordable, with a particular focus on hospital costs. The briefing was hosted in partnership with Bailit Health, the technical assistance provider for the Peterson-Milbank Program for Sustainable Healthcare Costs. More
June 2025 Lauren Christiansen-Lindquist,
The health and well-being of all Americans — but especially women and babies — relies on timely and accurate data. Pregnancy and early childhood are particularly vulnerable periods that require careful monitoring, support, and response. The more up-to-date information we have, the better chance we have of preventing unnecessary deaths, building healthy families, and setting children up for success. Yet, US Department of Health and Human Services Secretary Robert F. Kennedy’s changes to the agency eliminated the Centers for Disease Control and Prevention’s Division of Reproductive Health, among other divisions, almost entirely. More
June 2025 Grace Flaherty, Michael Bailit,
Health care affordability is a key concern for state agencies and policymakers looking to ensure access to care without creating undue financial burdens on patients, employer purchasers, and states. But affordability means different things to different stakeholders. For consumers, it might mean whether they can pay out-of-pocket costs without skipping care. For employers, it may mean health plan premium increases that don’t cut into their margins and/or reduce the ability offer competitive wages. For state officials, it might mean balancing the state budget by managing Medicaid and state employee health plan spending. More
