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  • Primary Care Transformation

    Letter to Congress Supports a 2026 Medicaid Payment Change

    December 2025

    In a December 15, 2025, letter to Congressional leaders, The Primary Care Collaborative (PCC) and 49 national and state organizations, including the Milbank Memorial Fund, expressed support for the efficiency adjustment included in the 2026 Medicare Physician Fee Schedule. More

  • The Pathway to Primary Care Investment Is Bolstered by Accountable Care

    Primary Care Transformation

    The Pathway to Primary Care Investment Is Bolstered by Accountable Care

    December 2025 Farzad Mostashari

    Primary care improves outcomes, reduces costs, and decreases disparities, yet continues to be critically underfunded. The result? Fewer clinicians choosing primary care, particularly independent primary care, declining morale among those who do, and decreased patient access. More

  • Achieving Financial Sustainability and Access in Rural Health Care Through Cooperative Efforts Among Existing Health Providers

    State Health Policy Leadership

    Achieving Financial Sustainability and Access in Rural Health Care Through Cooperative Efforts Among Existing Health Providers

    December 2025 Howard J. Peterson

    Rural Regional Organizations for Cooperation present an opportunity to build more robust and sustainable health care solutions for rural areas. More

  • Mental Health Social drivers of health

    The 2021 Child Tax Credit and Children’s Health and Well-Being: Evidence From a National Longitudinal Study

    December 2025 Guangyi Wang Daniel F. Collin Deborah Karasek Rita Hamad

    Context: In July 2021, to alleviate material hardship, Congress temporarily expanded the Child Tax Credit (CTC), one of the largest income transfer… More

  • Policy Strategies for State Medicaid Agencies to Advance Community Health and Well-Being

    Report State Health Policy Leadership

    Policy Strategies for State Medicaid Agencies to Advance Community Health and Well-Being

    December 2025 Katie M. Huber Samantha Repka Sara Debab Alida Austin William K. Bleser Rushina Cholera Robert S. Saunders Rebecca G. Whitaker

    Copublished with the Duke-Margolis Institute for Health Policy Abstract  Recent federal policy reforms and funding reductions pose… More

  • Population Health Public Health

    Pseudoscience, Subterfuge, and Civil Resistance

    December 2025 Alan B. Cohen

    With each passing day, the United States federal government introduces yet another policy that threatens, rather than promotes, the health and… More

  • Mental Health Population Health

    Health Effects of the 2021 Earned Income Tax Credit Expansion on Young Adults Without Children

    December 2025 Abdinasir K. Ali Emily C. Dore Rita Hamad

    In 2021, Congress expanded the earned income tax credit (EITC)—the largest US poverty alleviation program—to young adults without children who had previously been ineligible. More

  • No Such Thing as Being Out of Harm’s Way

    State Health Policy Leadership

    No Such Thing as Being Out of Harm’s Way

    December 2025 Christopher F. Koller

    “Hi, Chris and John! How are you doing?”  Dawnie greets us cheerfully, pushing a cart full of dirty utensils towards the elevator of the… More

  • Debra Lubar

    Debra Lubar

    December 2025

    Debra Lubar, PhD, is president of the Milbank Memorial Fund, a more than 120-year-old operating foundation that aims to improve population health and… More

  • The Future of North Carolina’s Healthy Opportunities Pilots and What it Means for Other Medicaid Programs Considering Social Needs Programs

    State Health Policy Leadership

    The Future of North Carolina’s Healthy Opportunities Pilots and What it Means for Other Medicaid Programs Considering Social Needs Programs

    December 2025 Joanne Kenen

    North Carolina’s much-heralded Medicaid experiment, which addressed social drivers of health like food, housing, and transportation more broadly and systematically than in other states, is on the brink. More