About The Milbank Quarterly

Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers.

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Alan B. Cohen


Christopher F. Koller

Managing Editor

Tara Strome

2-year Impact Factor: 4.911
Journal Citation Reports® 2020 Rankings: 8/88 (Health Policy & Services); 16/108 (Health Care Sciences & Services)
5-year Impact Factor: 8.250

New Milbank Quarterly Issue Released: September 2021 

Upcoming Topics

  • How to Elicit The Initial Program Theory For A Realist Evaluation Of Complex Integrated Care Programs
  • Coverage and Framing of Exclusionary and Integrating Immigration Policy in Us Newspapers
  1. Early View Original Scholarship

    First Things First: How to Elicit the Initial Program Theory for a Realist Evaluation of Complex Integrated Care Programs

    By:  Rowan G. M. Smeets Dorijn F. L. Hertroijs Ferdinand C. Mukumbang Mariëlle E. A. L. Kroese Dirk Ruwaard Arianne M. J. Elissen

    Context: The complexity of integrated care and the need for transferable evaluation insights ask for a suitable evaluation paradigm. Realist… More

  2. Early View Original Scholarship

    Participation, Pricing, and Enrollment in a Health Insurance “Public Option”: Evidence From Washington State’s Cascade Care Program

    By:  Aditi P. Sen Yashaswini Singh Mark K. Meiselbach Matthew D. Eisenberg Gerard F. Anderson

    Context: State and federal policymakers considering introduction of a health insurance “public option” can learn from Washington State, which… More

  3. Early View Original Scholarship

    Electronic Health Records as Biased Tools or Tools Against Bias: A Conceptual Model

    By:  Michael D. Rozier Kavita Patel, MD, MS Dori A. Cross

    Context: Health care delivery is now inextricably linked to the use of electronic health records (EHRs), which exert considerable influence over… More

  4. Early View Original Scholarship

    A US State Index of Successful Aging: Differences Between States and Over Time

    By:  David H. Rehkopf Frank F. Furstenberg Holly Elser Christian Jackson Nicole Levy John W. Rowe The Aging Society Research Network

    Context: Although it is recognized that aspects of US state environments impact the likelihood that older adults age successfully, there is currently… More

  5. Early View Perspective

    A Playbook for Implementing Medicaid Expansion: Louisiana’s Experience

    By:  Will Boles Ruth Kennedy Emma Siewert Diane Rowland Barbara Lyons Rebekah E. Gee

    Twelve states have not yet expanded Medicaid under the Affordable Care Act. In a new Perspective, Will Boles of Louisiana State University Health Sciences Center School of Medicine, along with Ruth Kennedy, Emma Siewert, Diane Rowland, Barbara Lyons, and Rebekah E. Gee, suggest that Louisiana can serve as a model for new Medicaid expansion states seeking to rapidly enroll people within a limited administrative budget. More

  6. Early View Original Scholarship

    Does a Rising Median Income Lift All Birth Weights? County Median Income Changes and Low Birth Weight Rates Among Births to Black and White Mothers

    By:  David S. Curtis Thomas E. Fuller-Rowell Daniel L. Carlson Ming Wen Michael R. Kramer

    Low birth weight and infant mortality rates vary among place and racial group in the United States, with economic resources being a likely fundamental contributor to these disparities. The goals of this study were to examine time-varying county median income as a predictor of LBW rates and Black-White LBW disparities and to test county prevalence and racial disparities in maternal sociodemographic and health risk factors as mediators. More

  7. Early View Original Scholarship

    Advancing Action on Health Equity Through a Sociolegal Model of Health

    By:  Ashley Schram Tessa Boyd-Caine Suzie Forell Fran Baum Sharon Friel

    In the field of public health, the law and legal systems remain a poorly understood and substantially underutilized tool to address unfair or unjust societal conditions underpinning health inequities. The aim of our article is to demonstrate the value of expanding from a social model of health to a sociolegal model of health and empowering health actors to use the law more strategically in the pursuit of health equity. More

  8. Early View Original Scholarship

    Economic Aspects of Delivering Primary Care Services: An Evidence Synthesis to Inform Policy and Research Priorities

    By:  Lorcan Clarke Michael Anderson Rob Anderson Morten Bonde Klausen Rebecca Forman Jenna Kerns Adrian Rabe Søren Rud Kristensen Pavlos Theodorakis Jose Valderas Hans Kluge Elias Mossialos

    In 2018, the Declaration of Astana renewed goals set forth 40 years earlier by the World Health Organization and the United Nations’ Children Fund regarding the importance of primary health coverage in achieving universal health coverage. However, policymakers are often unclear how best to use primary care resources for maximum economic impact. In this overview of systemic reviews, Lorcan Clarke from the London School of Economics and Trinity College Dublin and colleagues finds that specific task shifting among different health care workers, telemedicine, longer primary care consultations, and pay for performance mechanisms are some of the strategies that can have positive economic effects. More

  9. Early View Original Scholarship

    Population Health Innovations and Payment to Address Social Needs Among Patients and Communities With Diabetes

    By:  Kathryn E. Gunter Monica E. Peek Jacob P. Tanumihardjo Evalyn Carbrey Richard D. Crespo Trista W. Johnson Brenda Rueda-Yamashita Eric I. Schwartz Catalina Sol Cody M. Wilkinson Jo Wilson Emily Loehmer Marshall H. Chin

    In this study, Kathryn E. Gunter of University of Chicago and colleagues explore the experiences of eight grantee organizations from the Bridging the Gap: Reducing Disparities in Diabetes Care initiative sponsored by the Merck Foundation, which aims improve diabetes outcomes by transforming primary care and addressing social needs within evolving payment methods. The authors find that current payment mechanisms for health care services do not adequately support critical up-front investments in infrastructure to address medical and social needs, nor provide sufficient incentives to make addressing social needs a priority More

  10. Early View Original Scholarship

    County-Level Recreational Marijuana Policies and Local Policy Changes in Colorado and Washington State (2012-2019)

    By:  Denise D. Payán Paul Brown Anna V. Song

    In 2012, Colorado and Washington became the first states in the country to legalize marijuana and therefore “serve as quasi-natural experiments to examine how local jurisdictions have responded to state marijuana legalization.” In this study, Denise D. Payán, Paul Brown, and Anna V. Song of the University of California, Merced identified key county policymakers in those states and explored their arguments for or against marijuana facilities. The authors found that several counties in both Colorado and Washington have made substantial marijuana facility policy modifications since state legalization. More

  11. Early View Original Scholarship

    Evidence-Based Message Strategies to Increase Public Support for State Investment in Early Childhood Education: Results from a Longitudinal Panel Experiment

    By:  Jeff Niederdeppe Liana B. Winett Yiwei Xu Erika Franklin Fowler Sarah E. Gollust

    Investments in early childhood education can have a long-lasting impact on health and well-being. This study by Jeff Niederdeppe of Cornell University and colleagues compared types of messages to garner public support, including simple advocacy messages, policy narratives (short stories with a setting, characters, and a plot that offers a policy solution to a social problem), and inoculation messages (messages designed to prepare audiences for building resistance to opposing messages). The authors found that narrative messages may be particularly effective in persuading individuals inclined to oppose such policies, while inoculation messages may protect favorable child care policy attitudes. More

  12. Early View Original Scholarship

    The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review

    By:  Betsy Q. Cliff Anton L. V. Avanceña Richard A. Hirth Shoo-Yih Daniel Lee

    Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on Choosing Wisely guidelines can reduce the use of low-value services. They also found that multicomponent interventions targeting clinicians are currently the most effective types of interventions. More

  13. Early View Original Scholarship

    Pursuing Value-Based Prices for Drugs: A Comprehensive Comparison of State Prescription Drug–Pricing Boards

    By:  Liam Bendicksen Benjamin N. Rome Jerry Avorn Aaron S. Kesselheim

    Context: Rising prescription drug costs are consuming a growing proportion of state and private budgets. In response, lawmakers have experimented with… More

  14. Early View Perspective

    Beyond Causality: Additional Benefits of Randomized Controlled Trials for Improving Health Care Delivery

    By:  Marcella Alsan Amy N. Finkelstein

    From Scurvy to Streptomycin to Social Policy Their cases were as similar as I could have them. —James Lind, 17531 With deep roots in clinical… More

  15. Early View Perspective

    Oral Health Stakeholders: A Time for Alignment and Action

    By:  Shenam Ticku Jane Barrow Ralph Fuccillo John E. McDonough

    The 2000 Surgeon General’s report identified the state of oral health in America as an issue of major concern, highlighting significant disparities… More

  16. Early View Original Scholarship

    When All That Glitters Is Gold: Dominated Plan Choice on Covered California for the 2018 Plan Year

    By:  Petra W. Rasmussen David Anderson

    Context: The Affordable Care Act (ACA) individual health insurance marketplaces rely on purchasers to make informed choices to impose price and… More

Current Issue

  1. Nurse Practitioner Scope-of-Practice Laws and Opioid Prescribing

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  2. Social Prescribing in National Health Service Primary Care: What Are the Ethical Considerations?

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  3. The Demise of Artificial Trans Fat: A History of a Public Health Achievement

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  4. State Policymaking and Stated Reasons: Prenatal Care for Undocumented Immigrants in an Era of Abortion Restriction

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  5. Artificial Intelligence and Liability in Medicine: Balancing Safety and Innovation

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  6. Who Would Pay Higher Taxes for Better Mental Health? Results of a Large-Sample National Choice Experiment

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Read the Current Issue

The Milbank Quarterly Opinion

Health Equity: California Style

Health equity has become a familiar buzzword in public health. There is, however, little consensus about what it means and how to measure it.…  More

The Social Determinants of Declining Birth Rates in the United States: Implications for Population Health and Public Policy

Paula M. Lantz discusses the implications for population health and public policy on the declining birth rate in the US.  More
Paula M. Lantz

Paula M. Lantz

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Collective Action and the Social Determinants of Health

Scholars and policymakers alike have understood the connection between the social determinants of health and health for centuries now, but progress in…  More
Hahrie Han

Hahrie Han

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