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 posts from our staff and guest authors.
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.
Policy Report Primary Care Transformation
May 2025 Hope Glassberg, Henry Chung, Jordanna Davis, Adam J. Falcone, Alison Gold,
This report offers community health centers, their partners, policymakers, and others a place to start in addressing challenges to implementing value-based payment models, particularly as the safety net faces potential cuts in federal funding for Medicaid. More
Issue Brief Primary Care Transformation
September 2025 Christopher F. Koller, Diana Bianco, Katie Greene, Maddy Hraber, Sandra Wilkniss,
This report provides state leaders with a range of policy options states can use to strengthen primary care across geopolitically diverse contexts. More
Policy Report State Health Policy Leadership
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
Policy Report Health of US Primary Care Scorecard Primary Care Transformation
February 2026 Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, Anam Siddiqi, Jeongyoung Park, Christopher F. Koller,
This analysis shows the tangible benefits of primary care access for people with chronic disease, including substantially lower hospitalization rates and health care spending. More
February 2024 Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, Anam Siddiqi, Stephen Petterson, Jeongyoung Park,
This year’s Scorecard report assesses the health of primary care at the federal level using measures of access, financing, workforce/training, and research More
July 2026 K. John McConnell, Hyunjee Kim, STEPHAN R. LINDNER, Jane M. Zhu, David DiGiuseppe, Hayden Rooke-Ley,
As states brace for federal funding cuts and potentially large disenrollments in Medicaid, this report assesses the extent to which Medicaid managed care delivers value across its core functions: reducing financial risk for states; utilization management; network formation; care management; quality improvement; and paying for claims. More
Issue Brief Multipayer Primary Care Network Primary Care Transformation
December 2020 Diana Bianco, Chris DeMars, Lisa Miller, Emilie Sites,
This brief finds that 62 Oregon primary care practices that participated in Comprehensive Primary Care Initiative (CPC Classic) and continued with the Comprehensive Primary Care Plus (CPC+) showed positive trends on most quality measures, as well as emergency department utilization and avoidable emergency department utilization across all payer types. More
Policy Report
March 2017 Elizabeth Tobin-Tyler, Rachel L. Hulkower, Jennifer W. Kaminski,
Much research on behavioral health integration (BHI) has focused on adults. But children are affected by mental disorders too. BHI can also help children. This report is intended for anyone interested in improving the welfare of children in the health care system. More
February 2025 Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, Anam Siddiqi, Jeongyoung Park,
This 2025 Primary Care Scorecard spotlights the downward cycle of financing for primary care, describing how persistent challenges in primary care arise from insufficient investment (or in the case of training, misplaced investment) and a fee-for-service (FFS) payment model that rewards volume rather than continuous, whole-person care. This report highlights how these systemic financial issues not only undermine the effectiveness of primary care delivery but, more importantly, jeopardize the overall health of our communities in the following ways. More
State Health Policy Leadership
April 2023 Ann M. Nguyen, Magda Schaler-Haynes,
Although health care licensing is traditionally a state function, rigid state borders can be ill-suited to meet needs in terms of access to care for… More