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: 6.6
Journal Citation Reports® 2022 Rankings: 3/87 (Health Policy & Services); 8/105 (Health Care Sciences & Services)
5-year Impact Factor: 8.964

The Latest from The Milbank Quarterly 

Centennial Issue: The Future of Population Health

In celebration of its 100th anniversary, The Milbank Quarterly has published a special issue of 36 articles by a diverse set of leading and emerging scholars. The issue covers:

  • The structural drivers of population health
  • State- and municipal-level policies and strategies to advance population health
  • Key issues in population health and health equity; population health’s major challenges
  • Public health systems and strategies
  • The role of the US health system

Read the issue

  1. Early View Perspective

    Revising the Logic Model Behind Health Care’s Social Care Investments

    By:  Laura M. Gottlieb Danielle Hessler Holly Wing Alejandra Gonzalez-Rocha Yuri Cartier Caroline Fichtenberg

    Over the last decade, health care sector activities related to identifying and addressing patients’ social drivers of health have graduated from… More

  2. Early View Original Scholarship

    Causal Assessment of Income Inequality on Self-Rated Health and All-Cause Mortality: A Systematic Review and Meta-Analysis

    By:  Michal Shimonovich Mhairi Campbell Rachel M. Thomson Philip Broadbent Valerie Wells Daniel Kopasker Gerry McCartney Hilary Thomson Anna Pearce S. Vittal Katikireddi

    Context: Whether income inequality has a direct effect on health or is only associated because of the effect of individual income has long been… More

  3. Early View Perspective

    Integrated Devices: A New Regulatory Pathway to Promote Revolutionary Innovation

    By:  Ted Cho Vrushab Gowda Henning Schulzrinne Brian J. Miller

    Virtually all modern medical devices now include embedded software, ranging from basic user interfaces and network connectivity to sophisticated… More

  4. Early View Original Scholarship

    Assessing the Impact of the 340B Drug Pricing Program: A Scoping Review of the Empirical, Peer-Reviewed Literature

    By:  Timothy W. Levengood Rena M. Conti Sean Cahill Megan B. Cole

    Our scoping review provides a roadmap of the questions being asked about the 340B program and an initial synthesis of the answers. More

  5. Early View Original Scholarship

    Is White Evangelical Antistructural Theology Related to Poor Health Outcomes?

    By:  David A. Kindig Yasmin Mohd Ariffin Hannah Olson-Williams

    This study finds that every percent of evangelicals in a county is associated with 4.01 more premature deaths per 100,000 population and 0.13% fair/poor health. More

  6. Early View Perspective

    Toward a Climate-Ready Health Care System: Institutional Motivators and Workforce Engagement

    By:  Caleb Dresser Zachary Johns Avery Palardy Sarah McKinnon Suellen Breakey Ana M. Viamonte Ros Patrice K Nicholas

    An exploration of opportunities to move the US health care system toward climate readiness through institutional motivators, efforts to address barriers to action, and broad-based engagement of the health care workforce. More

  7. Early View Perspective

    Stopping the Vicious Cycle: Equitable Enforcement Strategies to Achieve Safe, Stable, and Accessible Housing for People with Disabilities

    By:  Katie Hannon Michel  Maya Hazarika Watts  Jessica Breslin Elizabeth Tobin-Tyler

    The law is widely recognized as a structural driver of health.1 The law affects health not only through its substance and design but also through… More

  8. Early View Original Scholarship

    Mapping the Lobbying Footprint of Harmful Industries: 23 Years of Data From OpenSecrets

    By:  Holly Chung Katherine Cullerton Jennifer Lacy-Nichols

    A comparison of lobbing spending and spending trends among four industries that affect public health. More

  9. Early View Perspective

    Multisector Collaboration vs. Social Democracy for Addressing Social Determinants of Health

    By:  Seth A. Berkowitz

    This article argues that social democracy requires political contestation but has greater potential than multisector collaboration to improve population health and health equity. More

  10. Early View Original Scholarship

    Four System Enablers of Large-System Transformation in Health Care: A Mixed Methods Realist Evaluation

    By:  Emilie Francis-Auton Janet C. Long Mitchell Sarkies Natalie Roberts Johanna Westbrook Jean-Frederic Levesque Diana E. Watson Rebecca Hardwick Peter Hibbert Chiara Pomare Jeffrey Braithwaite

    This study identifies four system “enablers” that can help guide large-scale transformation in health care systems. More

  11. Early View Perspective

    The Orphan Drug Act at 40: Legislative Triumph and the Challenges of Success

    By:  Peter Saltonstall Heidi Ross Paul T. Kim

    Forty years ago, Congress enacted the Orphan Drug Act of 1983 (ODA), one of the most important and successful US laws to stimulate global life… More

  12. Early View Perspective

    Leveraging Patients’ Creative Ideas for Innovation in Health Care

    By:  Yuna S. H. Lee Rachel Grob Ingrid Nembhard Dale Shaller Mark Schlesinger

    A valid and reliable method for eliciting creative ideas from patients can be deployed as part of routine patient experience surveys that include closed-ended survey items and open-ended narrative items in which patients share their experiences in their own words. More

  13. Early View Original Scholarship

    Prescription for Cash? Cash Support to Low-Income Families in Maternal and Pediatric Health Care Settings

    By:  Margaret McConnell Sumit Agarwal Erika Hanson Erin McCrady Margaret G. Parker Kira Bona

    This article discusses the interplay between health and economic vulnerability during pregnancy and childhood, how these overlapping challenges are addressed by current policies, and the rationale for cash transfers provided in health care settings. More

  14. Early View Perspective

    The Pitfalls of Ascribing Moral Agency to Corporations: Public Obligation and Political and Social Contexts in the Commercial Determinants of Health

    By:  Eduardo J. Gómez Nason Maani Sandro Galea

    Understanding the political and social conditions needed for government to establish corporate incentive structures designed to improve health. More

  15. Early View Original Scholarship

    Modeling State Firearm Law Adoption Using Temporal Network Models

    By:  Duncan A. Clark James Macinko Maurizio Porfiri

    Study results show that a set of internal state factors are important predictors of firearm law adoption, but the actions of neighboring states may be just as important. More

  16. Early View Perspective

    Transportation Justice and Health

    By:  Kellia J. Hansmann Na'amah Razon

    Transportation is one of these core social determinants and yet the understanding of transportation in health care has heavily focused on a limited view of transportation insecurity rather than adopting the more inclusive approach of transportation justice. More

  17. Early View Perspective

    The Effect of the Earned Income Tax Credit on Physical and Mental Health—Results from the Atlanta Paycheck Plus Experiment

    By:  Peter Muennig Daniel W. Belsky Daniel Malinsky Kieu-Giang Nguyen Zohn Rosen Heidi L. Allen

    A new Milbank Quarterly study examines how an enhanced earned-income tax credit (EITC) affects mental and physical health. More

  18. Early View Original Scholarship

    Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada “Walking the Talk?”

    By:  Monica Aggarwal Brian Hutchison Reham Abdelhalim G. Ross Baker

    Context: Despite significant investments to transform primary care, Canada lags behind its peers in providing timely access to regular doctors or… More

  19. Early View Original Scholarship

    Caught Between a Well-Intentioned State and a Hostile Federal System: Local Implementation of Inclusive Immigrant Policies

    By:  Maria-Elena De Trinidad Young Sharon Tafolla Fabiola M. Perez-Lua

    The tensions among state immigrant policies, local immigration climates, and federal policy changes indicate that state immigrant policies are not implemented equally across state communities, resulting in challenges and limited benefits from policies for many immigrant communities. More

  20. Early View Original Scholarship

    Association Between Partisan Affiliation of State Governments and State Mortality Rates Before and During the COVID-19 Pandemic

    By:  Steven H. Woolf Roy T. Sabo Derek A. Chapman Jong Hyung Lee

    Context: Increasing polarization of states reached a high point during the COVID-19 pandemic, when the party affiliation of elected officials often… More

  21. Early View Original Scholarship

    Trade-Related Aspects of Intellectual Property Rights Flexibilities and Public Health: Implementation of Compulsory Licensing Provisions into National Patent Legislation

    By:  Lauren McGivern

    Although it will not fully solve patent barriers to the access of medicines, implementation of compulsory licensing (and specifically those for the import and export of pharmaceutical products) will provide governments with another tool to safeguard their population’s public health. More

  22. Early View Original Scholarship

    Improving Food and Drug Administration–Centers for Medicare and Medicaid Services Coordination for Drugs Granted Accelerated Approval

    By:  Peter J. Neumann Elliott Crummer James D. Chambers Sean R. Tunis

    Context: The Food and Drug Administration (FDA)’s accelerated-approval pathway expedites patient access to promising treatments. However,… More

  23. Early View Original Scholarship

    Dual Barriers: Examining Digital Access and Travel Burdens to Hospital Maternity Care Access in the United States, 2020

    By:  Peiyin Hung Marion Granger Nansi Boghossian Jiani Yu Sayward Harrison Jihong Liu Berry A. Campbell Bo Cai Chen Liang Xiaoming Li

    Context: With the increases in nationwide hospital maternity unit closures, there is a greater need for telehealth services for the supervision,… More

  24. Early View Original Scholarship

    Community Health Center Staff Perspectives on Financial Payments for Social Care

    By:  Justin M. Lopez Holly Wing Sara L. Ackerman Danielle Hessler Laura M. Gottlieb

    Context: A growing crop of national policies has emerged to encourage health care delivery systems to ask about and try to address patients’ social… More

  25. Early View Original Scholarship

    Unrealized Cross-System Opportunities to Improve Employment and Employment-Related Services Among Autistic Individuals

    By:  Anne M. Roux Kaitlin K. Miller Sha Tao Jessica E. Rast Jonas Ventimiglia Paul T. Shattuck Lindsay L. Shea

    Context: Employment is a key social determinant of health. As such, high rates of unemployment, underemployment, and poverty across the rapidly… More

  26. Early View Original Scholarship

    The Role of Place in Person- and Family-Oriented Long-Term Services and Supports

    By:  Chanee D. Fabius Safiyyah M. Okoye Mingche M. J. Wu Andrew D. Jopson Linda C. Chyr Julia Burgdorf Jeromie Ballreich Danny Scerpella Jennifer L. Wolff

    A framework and analyses describing the variable relationships between LTSS-relevant environmental factors and person-reported care experiences. More

  27. Early View Perspective

    Moving Toward Inclusion: Access to Care Models for Uninsured Immigrant Children

    By:  Katelyn Girtain Sural Shah Ana C. Monterrey J. Raul Gutierrez Mark Kuczewski Julie M. Linton

    The United States is home to 44.9 million immigrants who contribute unique assets, economic stability, and rich lived experiences to communities… More

  28. Early View Perspective

    Advancing Dialogue About Consent and Molecular HIV Surveillance in the United States: Four Proposals Following a Federal Advisory Panel’s Call for Major Reforms

    By:  Stephen Molldrem Anthony K J Smith Alexander McClelland

    On October 17th, 2022, the US Presidential Advisory Council on HIV/AIDS (PACHA) adopted a nonbinding resolution about domestic molecular HIV… More

Current Issue

  1. In the December 2023 Issue of the Quarterly

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  2. In the September 2023 Issue of the Quarterly

    Read More

  3. The Water Surrounding the Iceberg: Cultural Racism and Health Inequities

    Read More

  4. Evidence on Scaling in Health and Social Care: An Umbrella Review

    Read More

  5. The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework

    Read More

  6. The Profound Implications of the Meaning of Health for Health Care and Health Equity

    Read More

Read the Current Issue

The Milbank Quarterly Opinion

The Continued Resiliency of the ACA Marketplaces

Five years ago, I wrote a column titled, “The Surprising Resiliency of the Affordable Care Act,” noting that despite the hostility of the Trump…  More
Gail R. Wilensky

Gail R. Wilensky

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Advancing Patient Safety: A Call for System Transformation

In 1999, the Institute of Medicine published a seminal report titled To Err is Human, which determined that tens of thousands of patient deaths…  More

Connecting Public Health and Primary Care: The Prevention and Public Health Fund Redux

The imbalance in US health spending between public health and medical care is no secret. For example, of the more than $3.8 trillion in US health…  More

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