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: June 2021 

Upcoming Topics

  • Advancing Action on Health Equity Through a Socio-Legal Model of Health
  • 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
  • A Playbook for Expanding Medicaid: Louisiana’s Experience
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. Early View Original Scholarship

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

    By:  F. Reed Johnson Juan Marcos Gonzalez Jui-Chen Yang Semra Ozdemir Steven Kymes

    Context: The direct and indirect impacts of serious mental illness (SMI) on health care systems and communities represents a significant burden.… More

  7. 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

  8. Early View Original Scholarship

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

    By:  Margo G. Wootan Angela Amico Michael F. Jacobson Cindy Leung Walter Willett

    This article describes a strategic combination of research, advocacy, corporate campaigns, communications, grassroots mobilization, legislation, regulatory actions, and litigation against companies and government to secure a national policy to remove artificial trans fat from the US food system. More

  9. 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

  10. Early View Original Scholarship

    Nurse Practitioner Scope-of-Practice Laws and Opioid Prescribing

    By:  Benjamin J. McMichael

    Context: As many parts of the United States continue to face physician shortages, the increased use of nurse practitioners (NPs) can improve access to… More

  11. 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

  12. 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

  13. Early View Perspective

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

    By:  Rebecca C.H. Brown Kamal Mahtani Amadea Turk Stephanie Tierney

    Social prescribing is an effort to recognize and address the broader, nonclinical contributors to health and well-being made by social and economic factors, while maintaining the clinical role of medically trained staff. More

  14. Early View Original Scholarship

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

    By:  Rachel E. Fabi Brendan Saloner Holly Taylor

    Context: Even though nearly 6% of citizen babies born in the United States have at least one undocumented parent, undocumented immigrants are… More

  15. Early View Original Scholarship

    The Evolution of Supply and Demand in Markets for Generic Drugs

    By:  Richard G. Frank Thomas G. McGuire Ian Nason

    Context: The image of generic drugs as a commodity sold in competitive markets is an oversimplification, as evidenced by increasing accounts of price… More

  16. Early View Original Scholarship

    Medicaid Waivers and Tenancy Supports for Individuals Experiencing Homelessness: Implementation Challenges in Four States

    By:  Frank J. Thompson Jennifer Farnham Emmy Tiderington Michael K. Gusmano Joel C. Cantor

    Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness. This… More

  17. Early View Perspective

    Artificial Intelligence and Liability in Medicine: Balancing Safety and Innovation

    By:  George Maliha Sara Gerke I. Glenn Cohen Ravi B. Parikh

    After more than a decade of promise and hype, artificial intelligence (AI) and machine learning (ML) are finally making inroads into clinical… More

  18. Early View Original Scholarship

    Linking Data on Constituent Health with Elected Officials’ Opinions: Associations Between Urban Health Disparities and Mayoral Officials’ Beliefs about Health Disparities in their Cities

    By:  Jonathan Purtle Rennie Joshi Félice Lê-Scherban Rosie Mae Henson Ana V. Diez Roux

    Context: A substantive body of research has explored what factors influence elected officials’ opinions about health issues. However, no studies… More

Current Issue

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

    Read More

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

    Read More

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

    Read More

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

    Read More

  5. Oral Health Stakeholders: A Time for Alignment and Action

    Read More

  6. On Planning for an Unimaginable Future

    Read More

  7. Rapid Transition to Telehealth and the Digital Divide: Implications for Primary Care Access and Equity in a Post-COVID Era

    Read More

Read the Current Issue

The Milbank Quarterly Opinion

Old Wine in a New Bottle—Time for a National Health Care Workforce Commission

The massive shortcomings of the US health care delivery system have been strikingly evident during the COVID-19 pandemic. One key shortcoming involves the nation’s health care workforce—physicians, nurses, mental health professionals, and many others. To address this challenge, President Biden and Congress should establish a national health care workforce commission.  More
John E. McDonough

John E. McDonough

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Vaccine Hesitancy and the Decline of the American Experiment?

Epidemics are more than biological events, says David Rosner of Columbia University’s Mailman School of Public Health in his latest Milbank Quarterly Opinion. “The ways we react to disease outbreaks are products of our beliefs, our knowledge, our prejudices, and our social and political histories,” Rosner explains. In this new commentary, Rosner explores the broad rejection of smallpox inoculation in 18th century America, its impact on health and life expectancy, and its parallels to today’s resistance to COVID-19 vaccination.  More
David Rosner

David Rosner

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An ARPA for Health Research?

In what would be the most significant change to US biomedical research funding policy in decades, Congress is considering a proposal to create an Advanced Research Projects Agency for Health (ARPA-H).  More

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