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.
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February 2025
Informed by the National Academies of Science Engineering and Medicine (NASEM) 2021 report on primary care and an advisory committee of key… More
Report
Despite the dire picture much of these data paint for the state of primary care, there are bright spots where primary care is flourishing. Yet more… More
EHRs, as currently designed and implemented, continue to be a burden for primary care practices Primary care clinicians spend more time on… More
Financially strained primary care practices discourage students from choosing primary care careers Rebuilding the primary care workforce will… More
Underinvestment and fee-for-service payment leads to practice inefficiencies and decreased capacity The ongoing lack of investment in primary… More
Primary care is the foundation of any health care system that delivers timely, high-quality, and equitable care. Yet, in the United States, we have… More
Report Health of US Primary Care Scorecard Primary Care Transformation
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
Report Primary Care Transformation Sustainable Health Care Costs
February 2025 Robert Seifert, Emma Rourke, Mary Jo Condon,
Abstract State governments have created a pathway to improve health care affordability by setting targets (or benchmarks) for annual cost growth.… More
State Health Policy Leadership
February 2025 Morgan McDonald,
In the spring of 2021, my favorite T-shirt to wear on the soccer sidelines sported an image of Dolly Parton singing “Vaccine, vaccine, vaccine, vacceeeeeene” to the tune of “Jolene.” Parton herself sang the rewritten lyrics repeatedly urging Tennesseans to accept the COVID-19 vaccine. It prompted countless conversations about how the vaccine was made, where people could get it, and how safe it was. As a state public health official, my colleagues and I were rejoicing at how quickly the Trump administration had indeed delivered on a several vaccine options less than a year into the pandemic. More