Milbank Primary Care Networks

The Milbank Memorial Fund supports networks of state officials, advocates, and others aiming to invest in and transform primary care.

How Does Milbank Support Primary Care Leaders?

Milbank convenes state primary care leaders to learn from one another, hear from subject-matter experts, and share resources and lessons on policy strategies to advance primary care, including investment, workforce, and payment models. These networks bring together representatives from Medicaid agencies, primary care advocates, and state policy leaders, creating a space for champions of primary care to learn from and support each other.

Primary Care Transformation

Read Milbank publications on primary care investment, financing, training and more.

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The Primary Care Investment Network

In partnership with the Primary Care Development Corporation and the Commonwealth Fund, Milbank supports the Primary Care Investment Network, or PCIN, which aims to increase investment in primary care by supporting state policies that direct a greater share of commercial, self-insured, and Medicaid spending toward primary care services. The Network connects state advocates and policymakers, fosters collaboration and knowledge-sharing across states, and builds leadership capacity to support initiatives to increase primary care funding.

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Medicaid Primary Care Payment Reform Peer Learning

Building on its history of convening state Medicaid agencies involved in federal payment models, Milbank brings together Medicaid agencies from the eight states that participated in the Center for Medicare and Medicaid Services Innovation Center’s former Making Care Primary model to continue sharing information on payment approaches.

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Quarterly Primary Care Payment Policy Meetings

Milbank hosts quarterly meetings of state agency representatives, state advocates, and policymakers interested in advancing Medicaid payment reform for primary care.

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NASHP Rural Primary Care Learning Network

Milbank partners with the National Academy for State Health Policy (NASHP) on this network, which was built around our jointly published primary care policy menu. The Learning Network provides a forum for state officials to share promising state approaches for strengthening primary care systems, with a focus on the unique challenges facing rural communities.

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Primary Care Networks

Keyword

Resource Types

Publication

Putting the Roadmap to a Comprehensive State Graduate Medical Education Strategy into Practice: State Perspectives

July 2026
Lori Rodefeld, Raquel Davis, Erin Fraher, Heidi B. Miller, Shelby Rimmler-Cohen, Mary Alice Scott, Mukesh Adhikari and Emily M. Hawes
Physician workforce shortages are limiting access to health care in nearly every state, with underserved and rural areas facing the greatest shortfalls. More

Blog Post

Sustaining Universal, Preventive-Centered Care Through Neighborhood Nursing

June 2026
André Nogueira, Natalia Barolín and Sarah Szanton
The fragmented multi-payer system in the United States creates powerful disincentives against the evidence-based interventions most likely to improve health and control costs: universal, prevention-centered care delivered where people live, work, and gather. More

Publication

A Roadmap for Building and Implementing a Comprehensive State Graduate Medical Education Strategy: Actionable Steps to Align Investments with Workforce Needs

April 2026
Lori Rodefeld, Emily M. Hawes, Raquel Davis, Shelby Rimmler-Cohen, Heidi B. Miller, Mary Alice Scott, Mukesh Adhikari and Erin Fraher
This evidence-based framework organizes a GME growth strategy into five iterative stages: exploration, strategy development, strategy design, technical assistance, and optimization. More

Blog Post

A Framework for Evaluating Primary Care Investment

March 2026
Kevin Grumbach, Deborah J. Cohen, Stephanie B. Gold, Rebecca S. Etz, Lauren S. Hughes , Robert L. Phillips, Andrew Bazemore, Elisabeth Wilson and Russell S. Phillips
Despite a robust body of evidence demonstrating that strong primary care is foundational to a high-performing health system associated with improved population health, greater equity, and lower overall costs, primary care in the US suffers chronic underinvestment. The United States currently spends only 4 to 5 cents on primary care for every dollar spent on […] More

Publication

Investing in Primary Care: The Missing Strategy in America’s Fight Against Chronic Disease

February 2026
Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, Anam Siddiqi, Jeongyoung Park and Christopher F. Koller
This analysis shows the tangible benefits of primary care access for people with chronic disease, including substantially lower hospitalization rates and health care spending. More

Blog Post

2026 Primary Care Scorecard Shows Continued Underinvestment, Workforce Strain

February 2026
Yalda Jabbarpour
The 2026 Primary Care Scorecard data show incremental, but fragile, gains in the primary care workforce and training pipeline. Financing for primary care continues to stagnate, with national spending levels largely unchanged and far below what is needed. There was considerable state variability for primary care spending and for primary care workforce density. More

News Article

Letter to Congress Supports a 2026 Medicaid Payment Change

December 2025
Christine Haran
In a December 15, 2025, letter to Congressional leaders, The Primary Care Collaborative (PCC) and 49 national and state organizations, including the Milbank Memorial Fund, expressed support for the efficiency adjustment included in the 2026 Medicare Physician Fee Schedule. More

Blog Post

The Pathway to Primary Care Investment Is Bolstered by Accountable Care

December 2025
Farzad Mostashari
Primary care improves outcomes, reduces costs, and decreases disparities, yet continues to be critically underfunded. The result? Fewer clinicians choosing primary care, particularly independent primary care, declining morale among those who do, and decreased patient access. More

Blog Post

Primary Care Needs a Triple Double: A Call to Action

November 2025
Asaf Bitton, MD, MPH
Health care should not just be about treating illness. It should be about preventing it, building long-term healing relationships, and improving overall health outcomes. So, when we talk about how to extend life expectancy and improve health at a sustainable cost, the answer is simple: double down on primary care. More

Blog Post

Artificial Intelligence Scribes in Primary Care: UK–US Perspectives on Evidence, Adoption, and Policy

October 2025
Lara Shemtob
I’m running late in clinic. I’ve just had a complex consult, and I have three patients waiting downstairs. I have to document the appointment that has just taken place and put the care plan into action, including by sending urgent referrals. I feel it’s not always appropriate to type away while speaking to patients, which can come at the cost of rapport. But when I document asynchronously, I am left playing catch up. More