The Latest

Original Scholarship
June, 2025

Longitudinal Associations From US State/Local Police and Social Service Expenditures to Suicides and Police-Perpetrated Killings Between Black and White Residents

By:  Devin English Ty A. Robinson Lori S. Hoggard Felix M. Muchomba Sharifa Z. Williams Joel C. Cantor Paul R. Duberstein Brett M. Millar

Reducing police expenditures and increasing housing expenditures may decrease Black–White inequities in years of potential life lost to suicide and police-perpetrated killing. More

Original Scholarship
June, 2025

State Health Care Cost Commissions: Their Priorities and How States’ Political Leanings, Commercial Hospital Prices, and Medicaid Spending Predict Their Establishment

By:  Brent D. Fulton Daniel R. Arnold Jordan M. Wolf Richard M. Scheffler

This study identifies states that have established health care cost commissions (HCCCs), examines state-level political and economic factors associated with their establishment, and reports which of these states have also enacted health care competition-related laws that further equip these commissions. More

Perspective
June, 2025

A Policy and Regulatory Framework to Promote Care Delivery Redesign and Production Efficiency in Health Care Markets

By:  Dennis P. Scanlon Jillian B. Harvey Cheryl L. Damberg Pratiksha Mahendra Bhagat Yunfeng Shi

In this article, we discuss why reliance on transaction prices and market share alone is not sufficient for effective health policy development and regulatory enforcement in health care markets that are imperfectly competitive. We discuss the need to better measure the output produced by health care suppliers and to capture the costs of producing that output. More

Original Scholarship
June, 2025

Who Enrolls in Coverage and Who Remains Uninsured? Medicaid Take-Up Before and After the Affordable Care Act and During Unwinding

By:  Rebecca Brooks Smith Gabriella Aboulafia Benjamin D. Sommers

From the pre- to post-ACA period, Medicaid take-up rates among eligible individuals increased, and these gains persisted during the beginning of the unwinding period, potentially reflecting increased outreach efforts under the Biden administration. However, areas of vulnerability remain among young adults, working adults, AI/AN individuals, and those in rural areas. More

Perspective
June, 2025

Toward Monitoring and Addressing the Commercial Determinants of Health: Where Can We Go From Here?

By:  Raquel Burgess Tanja Srebotnjak Christine Lin Lawrence Grierson Daniel C. Esty Yusuf Ransome Nicholas Freudenberg

This article seeks to advance discussion on two key priorities related to the commercial determinants of health (CDH): 1) the development of mechanisms to measure and monitor the practices of commercial entities, and 2) the development of effective policy recommendations for addressing the CDH. More

Original Scholarship
June, 2025

Strategies for and Barriers to Communicating About Health Equity in Challenging Times: Qualitative Interviews with Public Health Communicators

By:  Sarah E. Gollust Kristina Medero Quin Mudry Nelson Ceron Ford Erika Franklin Fowler Jeff Niederdeppe Rebekah H. Nagler

Public health communicators often discuss health equity–related concepts, but it is not clear what strategies they use or what resources can support them to overcome challenges they face. More

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Opinions

Jerel M. Ezell
July, 2025

Opioid Settlements, Big Pharma, and Racial Disparities in the Opioid Epidemic

Despite recent overall decreases in drug overdose deaths, racial disparities are persisting. This, coming against the backdrop of sweeping national opioid settlements, offers a reminder of the enduring potency of systemic racism in the face of what is otherwise a demonstrable public health success.  More
Jamila Michener
June, 2025

Medicaid Cuts Are Undemocratic and Not What the American People Want

Americans from across the political spectrum oppose cuts to Medicaid, believe that the program is effective, and are willing to take steps to defend Medicaid.  More
Thom Walsh
June, 2025

Rethinking Affordability: When Insurance Fails the Affordability Test

Millions of Americans possess insurance cards yet hesitate to use them. Escalating premiums, deductibles, and out-of-pocket expenses now impact not only low-income families but nearly everyone except the wealthiest. Annual out-of-pocket costs for a family of four now exceed $20,000—enough to buy a new car each year. These substantial expenses compel families to skip preventive services and essential medical care. The notion that “some coverage is better than none” falters when cost-sharing deters care and heightens financial risk.  More
Lawrence O. Gostin
May, 2025

The First 100 Days of the Trump Presidency

In a radio address on July 24, 1933, Franklin Delano Roosevelt (FDR) coined the first “hundred days” as a measure of presidential effectiveness.…  More
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May, 2025

Tough Decisions for the Future of US Research Universities: Transparency and Shared Governance Are Critical

The Trump administration is unsettling universities with aggressive cuts to federal research funding, including a reduction of the National…  More
Sara Rosenbaum
April, 2025

Who’s Affected by Medicaid Work Requirements? It’s Not Who You Think

Since the Affordable Care Act (ACA) Medicaid expansion passed in 2010, Medicaid work requirement proponents have sought to convince policymakers that…  More

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Special Issue

Read the articles

Mental Health and Substance Use Challenges Facing the United States: What Can State Policymakers Do?

In June, The Milbank Quarterly will publish a special issue of articles that address state strategies to improve mental and behavioral health, including approaches to strengthening the behavioral health workforce, leveraging AI to address the overdose crisis, and much more. Individual articles are publishing on a rolling basis.

For Authors

Information, instructions for authors, publication policies, and additional resources for authors interested in submitting manuscripts to The Milbank Quarterly.

Learn More

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.

Editor

Alan B. Cohen

Publisher

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