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 blogs from our thought leaders, including Fund President Christopher F. Koller.
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.
The Milbank Memorial Fund has published The Milbank Quarterly, a peer-reviewed journal of population health and health policy since 1923. It has commissioned and published reports since early in the last century and, beginning in the early 1990s, published a series called Milbank Reports. From 1999 to 2013, the Fund co-published with the University of California Press a series of books titled California/Milbank Books on Health and the Public. The Fund currently publishes reports, issue briefs (shorter papers), case studies, and Milbank-supported reports, which are published with partner organizations. If you would like to suggest a publication idea within our key areas of state health leadership, primary care, or affordability, please email Communications Director Christine Haran at charan@milbank.org.
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Report
March 2025 Vida Foubister,
More people in the US are struggling to find appointments with a primary care doctor or clinic for checkups and sick visits. In fact, 30% of adults… More
February 2025 Sabrina Corlette, Karen Davenport,
Unsustainable increases in health care costs are leading to high rates of medical debt, sapping the vitality of small businesses, straining state budgets, and dampening wage growth. States have the power to help reduce health care costs, and several are pursuing policies to do so. 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
February 2025 Robert Seifert, Emma Rourke, Mary Jo Condon,
This report describes the experiences of states that have designed and implemented policies to pursue these multiple targets and gathers lessons from their experiences to inform future policy development. Interviews with state officials and a multi-state convening revealed the strategies states used to establish their targets and their experiences implementing them. Officials described challenges to implementation and efforts to overcome them. More
Issue Brief
January 2025 Anna Rothenberg, Michael Bailit,
This brief outlines seven potential strategies to address high and rapidly rising hospital prices, accompanied by examples from states that have successfully implemented these approaches. More
Fact Sheet
January 2025
In a two-part primer for legislators, the Peterson-Milbank Program for Sustainable Health Care Costs explains health care cost trends and leading cost drivers, as well as state policies to track and slow health care spending. More
January 2025 Sofia Espinosa, Mary Louise Gilburg,
EVENT DATE: December 23, 2024 Community health workers, promotores, and community health representatives (CHW/P/CHR) address… More
December 2024 Grace Flaherty,
State health care cost growth target programs aim to control health care spending by setting an annual goal for the maximum rate at which health care costs should increase that is tied to income and/or economic growth. In addition to reporting spending growth at the state, insurer market, and individual insurer levels, states with cost growth target programs report spending growth for large provider organizations, such as health systems and hospitals. Reporting on provider organization cost growth is an important strategy for keeping providers accountable for constraining spending growth. However, accurately attributing spending to these large provider entities can be challenging. More
December 2024
In this Peterson-Milbank Program for Sustainable Health Care Cost-sponsored video produced by the National Alliance of Healthcare Purchaser… More
Toolkit
November 2024 Annie Cloke, Margarita Hart, Janée Tyus, Dawn Alley, Shreya Kangovi,
Community health workers, promotores, and community health representatives have historically relied on a patchwork of grants for funding, but more than half of state Medicaid programs have now implemented some form of CHW/P/CHR coverage and payment policy. This toolkit provides model language for state Medicaid leaders and CHW/P/CHR advocates to use as they develop State Plan Amendments and accompanying guidance documents to establish coverage and payment for CHW/P/CHR services. More
