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PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. THE FUTURE OF THE WORLD HEALTH ORGANIZATION: LESSONS This year’s World Health Assembly (WHA) was critically important to the future of the World Health Organization (WHO). The 68th Assembly took 3 major steps to improve global health security: a global health emergency workforce, an emergency contingency fund, and a review of the International Health Regulations (IHR). REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use disorders on a par with other medical care. HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. ENSURING COVID-19 VACCINE ACCESS FOR HOMEBOUND OLDER Ensuring COVID-19 Vaccine Access for Homebound Older Adults. The Health of Aging Populations COVID-19. Mary Stevenson is worried. Her mother, Ann, is in her 90s, has dementia, is frail and has difficulties walking. Mary and a home health aide provide her round-the-clock care. Ann has not been vaccinated for COVID-19 eventhough her level of
PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. THE FUTURE OF THE WORLD HEALTH ORGANIZATION: LESSONS This year’s World Health Assembly (WHA) was critically important to the future of the World Health Organization (WHO). The 68th Assembly took 3 major steps to improve global health security: a global health emergency workforce, an emergency contingency fund, and a review of the International Health Regulations (IHR). REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use disorders on a par with other medical care. HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s ENSURING COVID-19 VACCINE ACCESS FOR HOMEBOUND OLDER Ensuring COVID-19 Vaccine Access for Homebound Older Adults. The Health of Aging Populations COVID-19. Mary Stevenson is worried. Her mother, Ann, is in her 90s, has dementia, is frail and has difficulties walking. Mary and a home health aide provide her round-the-clock care. Ann has not been vaccinated for COVID-19 eventhough her level of
PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs. THE FUTURE OF THE AFFORDABLE CARE ACT IS A SOCIAL AND The future of the Affordable Care Act (ACA) is on the line at the Supreme Court. Again! For the 3rd time since its enactment in 2010. This term, the Court will decide California v.Texas, challenging the ACA’s minimum essential coverage provision (the “individual mandate”), which requires everyone to have a basic minimum level ofhealth coverage.
THE FUTURE OF THE WORLD HEALTH ORGANIZATION: LESSONS This year’s World Health Assembly (WHA) was critically important to the future of the World Health Organization (WHO). The 68th Assembly took 3 major steps to improve global health security: a global health emergency workforce, an emergency contingency fund, and a review of the International Health Regulations (IHR). FIVE STATES JOIN THE PETERSON-MILBANK PROGRAM FOR Connecticut, Oregon, Nevada, New Jersey, and Washington to implement spending targets to make health care more transparent and affordable. The Milbank Memorial Fund announced today that Connecticut, Oregon, Nevada, New Jersey, and Washington have been selected to participate in the Peterson-Milbank Program for Sustainable Health Care Costs. MARRYING VALUE-BASED PAYMENT AND THE SOCIAL DETERMINANTS Milbank Memorial Fund www.milbank.org 3 Abstract State Medicaid programs are experimenting with two vital trends in health policy—value- based payment (VBP) and interventions intended to address social determinants of health EVALUATING THE QUALITY OF MEDICAL CARE The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small to moderate portion of the disparities in health care access, affordability, and quality. EXEMPLARY PUBLIC SERVICE Four exemplary public servants left state service and the Steering Committee of the Fund’s Reforming States Group (RSG) this past year. The RSG is a bipartisan, voluntary group of state health policy leaders from both the executive and legislative branches who gather regularly to share information, develop professional networks, andwork on
MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. ENSURING COVID-19 VACCINE ACCESS FOR HOMEBOUND OLDER Ensuring COVID-19 Vaccine Access for Homebound Older Adults. The Health of Aging Populations COVID-19. Mary Stevenson is worried. Her mother, Ann, is in her 90s, has dementia, is frail and has difficulties walking. Mary and a home health aide provide her round-the-clock care. Ann has not been vaccinated for COVID-19 eventhough her level of
PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREER PATHS Developing Sustainable Community Health Worker Career Paths Issue Brief March 2021 By Olenga Anabui, Tamala Carter, Matthew Phillippi, Dominique G. Ruggieri, and Shreya Kangovi HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. ENSURING COVID-19 VACCINE ACCESS FOR HOMEBOUND OLDER Ensuring COVID-19 Vaccine Access for Homebound Older Adults. The Health of Aging Populations COVID-19. Mary Stevenson is worried. Her mother, Ann, is in her 90s, has dementia, is frail and has difficulties walking. Mary and a home health aide provide her round-the-clock care. Ann has not been vaccinated for COVID-19 eventhough her level of
PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREER PATHS Developing Sustainable Community Health Worker Career Paths Issue Brief March 2021 By Olenga Anabui, Tamala Carter, Matthew Phillippi, Dominique G. Ruggieri, and Shreya Kangovi HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s LONG COVID, BIOMARKERS, AND HEALTH POLICY The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs. ENSURING COVID-19 VACCINE ACCESS FOR HOMEBOUND OLDER Ensuring COVID-19 Vaccine Access for Homebound Older Adults. The Health of Aging Populations COVID-19. Mary Stevenson is worried. Her mother, Ann, is in her 90s, has dementia, is frail and has difficulties walking. Mary and a home health aide provide her round-the-clock care. Ann has not been vaccinated for COVID-19 eventhough her level of
PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs. STRATEGIES TO ENCOURAGE HOME- AND COMMUNITY-BASED CARE Financial Incentives. Medicaid agencies use financial incentives to encourage MCOs to offer care in home- and community-based settings.. Capitation rates. States with MLTSS pay for the cost of care through capitated payments to MCOs, a fixed amount of money per patient paid in advance to cover the expected cost of all health care services. 16 These capitation rates can influence the type of PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS Communications Plan. A communications plan is the first step for consistent, transparent sharing of information that provides a roadmap of goals, audiences, messages, and approaches to inform and engage audiences through press releases, infographics, meetings, and more.Download the template PRIMARY CARE SPENDING TARGETS ARCHIVES The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs. MARRYING VALUE-BASED PAYMENT AND THE SOCIAL DETERMINANTS Medicaid programs are experimenting with two vital trends in health policy: value-based payment and interventions intended to address social determinants of health, such as housing and transportation. How can they best be coordinated? THE FUTURE OF THE WORLD HEALTH ORGANIZATION: LESSONS This year’s World Health Assembly (WHA) was critically important to the future of the World Health Organization (WHO). The 68th Assembly took 3 major steps to improve global health security: a global health emergency workforce, an emergency contingency fund, and a review of the International Health Regulations (IHR). POPULATION HEALTH: THE TRANSLATION OF RESEARCH TO POLICY Population Health: The Translation of Research to Policy. The Robert Wood Johnson Foundation Health & Society Scholars (HSS) program was designed to build the nation’s capacity for research, leadership, and policy change, while addressing the multiple determinants of population health. One of its goals was to produce a cadre ofscientific
WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. INSTRUMENTS MEASURING INTEGRATED CARE: SYSTEMATIC REVIEW This study is the first systematic review of instruments measuring integrated care with an evidence synthesis of the measurement properties. We found 209 index instruments measuring different constructs related to integrated care; the strength of evidence on the adequacy of the majority of their measurement properties remainedlargely unassessed.
HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. INSTRUMENTS MEASURING INTEGRATED CARE: SYSTEMATIC REVIEW This study is the first systematic review of instruments measuring integrated care with an evidence synthesis of the measurement properties. We found 209 index instruments measuring different constructs related to integrated care; the strength of evidence on the adequacy of the majority of their measurement properties remainedlargely unassessed.
HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. LONG COVID, BIOMARKERS, AND HEALTH POLICY The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs. ENSURING COVID-19 VACCINE ACCESS FOR HOMEBOUND OLDER Ensuring COVID-19 Vaccine Access for Homebound Older Adults. The Health of Aging Populations COVID-19. Mary Stevenson is worried. Her mother, Ann, is in her 90s, has dementia, is frail and has difficulties walking. Mary and a home health aide provide her round-the-clock care. Ann has not been vaccinated for COVID-19 eventhough her level of
INSTRUMENTS MEASURING INTEGRATED CARE: SYSTEMATIC REVIEW This study is the first systematic review of instruments measuring integrated care with an evidence synthesis of the measurement properties. We found 209 index instruments measuring different constructs related to integrated care; the strength of evidence on the adequacy of the majority of their measurement properties remainedlargely unassessed.
THE FUTURE OF THE WORLD HEALTH ORGANIZATION: LESSONS This year’s World Health Assembly (WHA) was critically important to the future of the World Health Organization (WHO). The 68th Assembly took 3 major steps to improve global health security: a global health emergency workforce, an emergency contingency fund, and a review of the International Health Regulations (IHR). WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Reflections on the Mental Health Parity and Addiction Equity Act After 10 Years | Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREER PATHS Developing Sustainable Community Health Worker Career Paths Issue Brief March 2021 By Olenga Anabui, Tamala Carter, Matthew Phillippi, Dominique G. Ruggieri, and Shreya Kangovi WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. A HISTORY OF PUBLIC HEALTH1 A HISTORY OF PUBLIC HEALTH1 Any one who decides to master a special field of knowledge, and to make a life career of that area, must possess a full understanding of the PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. EVALUATING THE QUALITY OF MEDICAL CARE The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era | While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTS The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREERSEE MORE ONMILBANK.ORG
BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. EVALUATING THE QUALITY OF MEDICAL CARE The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era | While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small WHICH PRIORITIES FOR HEALTH AND WELL‐BEING STAND OUT AFTER It’s challenging for regional health leaders to prioritize health interventions when facing so many tangled threats to health and well-being. In a new Milbank Quarterly study, Bobby Milstein of ReThink Health and Jack Homer of MIT Sloan School of Management used a new simulation model to project the impact of regional health and well-being interventions over 20 years. HOW ARE PAYMENT REFORMS ADDRESSING SOCIAL DETERMINANTS OF Milbank Memorial Fund • www.milbank.org 3 Landscape of VBP Models Addressing SDoH Significant and expansive new payment models tar-geting SDoH are emerging, such as North Carolina’s MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. LONG COVID, BIOMARKERS, AND HEALTH POLICY The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and health care costs. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREER Scaling up the role of community health workers (CHWs), which is essential for the future of U.S. public health, economic recovery, and social justice, requires significant workforce development to address the lack of a CHW career pipeline and high rates of EVALUATING THE QUALITY OF MEDICAL CARE The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. THE FUTURE OF THE WORLD HEALTH ORGANIZATION: LESSONS This year’s World Health Assembly (WHA) was critically important to the future of the World Health Organization (WHO). The 68th Assembly took 3 major steps to improve global health security: a global health emergency workforce, an emergency contingency fund, and a review of the International Health Regulations (IHR). WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. DEVELOPING SUSTAINABLE COMMUNITY HEALTH WORKER CAREER PATHS Developing Sustainable Community Health Worker Career Paths Issue Brief March 2021 By Olenga Anabui, Tamala Carter, Matthew Phillippi, Dominique G. Ruggieri, and Shreya Kangovi HEALTH WORKER SHORTAGES AND GLOBAL JUSTICE v Milbank Memorial Fund Most countries of the world have a stated commitment to improving the health of their inhabitants. However, there are enormous challenges in attaining that ILLEGITIMACY AND RACE table 2. estimated illegitimacy rates by color, united states race 1940 i960 1960* 1964* 1966* white 3.6 6.1 9.2 11.0 11.6 nonwhite 35.671.2 98.3 97.2 97.6
THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTSMILBANK 320 AMP METER SOCKETMILBANK DOUBLE LUG METER BASEMILBANK LAW FIRMMILBANK METER MAIN COMBOMILBANK SD OBITUARIES The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. “HERE. NOT THERE”: REBALANCING HEALTH SYSTEMS TOWARD “Here. Not There”: Rebalancing Health Systems Toward Primary Care | New data from the Centers for Disease Control and Prevention indicate the US reversed a three-year decline in life expectancy in 2018, thanks to gains made in combatting opioid misuse deaths and improved cancer treatment. But in his latest “View from Here,” Milbank Memorial Fund President Christopher Koller BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era | While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small PROSPECTIVE PAYMENT FOR PRIMARY CARE: LESSONS FOR FUTURE Prospective payment for primary care is an alternative payment model that can facilitate care delivery transformations to better manage population health. It offers practices a predictable source of revenue, and the flexibility to manage care within a budget to optimize outcomes for a REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Reflections on the Mental Health Parity and Addiction Equity Act After 10 Years | Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTSMILBANK 320 AMP METER SOCKETMILBANK DOUBLE LUG METER BASEMILBANK LAW FIRMMILBANK METER MAIN COMBOMILBANK SD OBITUARIES The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, and states. The program provides technical assistance through Bailit Health to states that are developing targets for per-capita trends in total health care spending statewide. MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. “HERE. NOT THERE”: REBALANCING HEALTH SYSTEMS TOWARD “Here. Not There”: Rebalancing Health Systems Toward Primary Care | New data from the Centers for Disease Control and Prevention indicate the US reversed a three-year decline in life expectancy in 2018, thanks to gains made in combatting opioid misuse deaths and improved cancer treatment. But in his latest “View from Here,” Milbank Memorial Fund President Christopher Koller BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era | While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small PROSPECTIVE PAYMENT FOR PRIMARY CARE: LESSONS FOR FUTURE Prospective payment for primary care is an alternative payment model that can facilitate care delivery transformations to better manage population health. It offers practices a predictable source of revenue, and the flexibility to manage care within a budget to optimize outcomes for a REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Reflections on the Mental Health Parity and Addiction Equity Act After 10 Years | Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified MILBANK MEMORIAL FUND The Reforming States Group is a bipartisan, voluntary, self-governing group of state health policy leaders from both the executive and legislative branches. The Multipayer Primary Care Network is a voluntary group of leaders who are representatives of state- or region-based, multipayer, primary care transformation initiatives. THE MILBANK QUARTERLY The Milbank Quarterly. Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers. Learn More. Editor. Alan B. Cohen. “HERE. NOT THERE”: REBALANCING HEALTH SYSTEMS TOWARD “Here. Not There”: Rebalancing Health Systems Toward Primary Care | New data from the Centers for Disease Control and Prevention indicate the US reversed a three-year decline in life expectancy in 2018, thanks to gains made in combatting opioid misuse deaths and improved cancer treatment. But in his latest “View from Here,” Milbank Memorial Fund President Christopher Koller HOW STATES ARE INCREASING THEIR INVESTMENT IN PRIMARY CARE Strengthening primary care in the United States has been a prominent health policy topic for more than 13 years, tracing back to the publication of “Joint Principles of the Patient-Centered Medical Home.”There have been waves of efforts since then by federal and state government, health insurers, and provider organizations to transform primary care delivery, as well as change how primary PROSPECTIVE PAYMENT FOR PRIMARY CARE: LESSONS FOR FUTURE Prospective payment for primary care is an alternative payment model that can facilitate care delivery transformations to better manage population health. It offers practices a predictable source of revenue, and the flexibility to manage care within a budget to optimize outcomes for a REVISITING THE LAND OF THE INDIVIDUAL MANDATE Revisiting the Land of the Individual Mandate. The years 2013 through 2016 were excruciating for the Massachusetts Health Connector. In 2013, the Connector was among the nation’s most troubled federal/state health insurance exchanges, as it endured an epic collapse of its new website to help consumers purchase individualhealth insurance.
EVALUATING THE QUALITY OF MEDICAL CARE The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. MARRYING VALUE-BASED PAYMENT AND THE SOCIAL DETERMINANTS Milbank Memorial Fund www.milbank.org 3 Abstract State Medicaid programs are experimenting with two vital trends in health policy—value- based payment (VBP) and interventions intended to address social determinants of health WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. HEALTH WORKER SHORTAGES AND GLOBAL JUSTICE v Milbank Memorial Fund Most countries of the world have a stated commitment to improving the health of their inhabitants. However, there are enormous challenges in attaining that THE MILBANK QUARTERLY Confronting the Consequences of National Federation of Independent Business v Sebelius to Insure the Poor More than a decade after the passage of the Affordable Care Act, the poorest residents in the 12 states that have not expanded Medicaid — who are disproportionately Black or American Indian — remain without health insurance.S ara Rosenbaum of George Washington University School of PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTSMILBANK 320 AMP METER SOCKETMILBANK DOUBLE LUG METER BASEMILBANK LAW FIRMMILBANK METER MAIN COMBOMILBANK SD OBITUARIES The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. “HERE. NOT THERE”: REBALANCING HEALTH SYSTEMS TOWARD “Here. Not There”: Rebalancing Health Systems Toward Primary Care | New data from the Centers for Disease Control and Prevention indicate the US reversed a three-year decline in life expectancy in 2018, thanks to gains made in combatting opioid misuse deaths and improved cancer treatment. But in his latest “View from Here,” Milbank Memorial Fund President Christopher Koller BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era | While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. PROSPECTIVE PAYMENT FOR PRIMARY CARE: LESSONS FOR FUTURE This report analyzes earlier primary care prospective payment models and offers lessons and insights for designing a prospective payment for primary care that will facilitate the delivery of comprehensive, coordinated, and patient-centered primary care. REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Reflections on the Mental Health Parity and Addiction Equity Act After 10 Years | Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified THE MILBANK QUARTERLY Confronting the Consequences of National Federation of Independent Business v Sebelius to Insure the Poor More than a decade after the passage of the Affordable Care Act, the poorest residents in the 12 states that have not expanded Medicaid — who are disproportionately Black or American Indian — remain without health insurance.S ara Rosenbaum of George Washington University School of PETERSON-MILBANK PROGRAM FOR SUSTAINABLE HEALTH CARE COSTSMILBANK 320 AMP METER SOCKETMILBANK DOUBLE LUG METER BASEMILBANK LAW FIRMMILBANK METER MAIN COMBOMILBANK SD OBITUARIES The Peterson-Milbank Program for Sustainable Health Care Costs advances state-based efforts to make health care more affordable for residents, employers, MEDICAID WAIVERS AND TENANCY SUPPORTS FOR INDIVIDUALS Context: The Affordable Care Act extended Medicaid eligibility to large numbers of individuals experiencing or at risk of homelessness.This legislative development and the growing recognition of homelessness as a significant social determinant of health have encouraged advocates and policymakers to seek new ways to use Medicaid to provide housing supports. “HERE. NOT THERE”: REBALANCING HEALTH SYSTEMS TOWARD “Here. Not There”: Rebalancing Health Systems Toward Primary Care | New data from the Centers for Disease Control and Prevention indicate the US reversed a three-year decline in life expectancy in 2018, thanks to gains made in combatting opioid misuse deaths and improved cancer treatment. But in his latest “View from Here,” Milbank Memorial Fund President Christopher Koller BEYOND HEALTH INSURANCE: REMAINING DISPARITIES IN US Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era | While the Affordable Care Act reduced the number of uninsured Americans to historic lows and has particularly benefited lower-income families and minorities, insurance expansion on its own was not enough to bring about health care equity. Researchers found that lack of health insurance only explains a small BUILDING STATE CAPACITY TO ADDRESS BEHAVIORAL HEALTH NEEDS ilban emorial und milbanor 2 Olmstead decision1 mandated that states integrate the services provided to individuals with disabilities, includ-ing individuals with mental illness, into the community. PROSPECTIVE PAYMENT FOR PRIMARY CARE: LESSONS FOR FUTURE This report analyzes earlier primary care prospective payment models and offers lessons and insights for designing a prospective payment for primary care that will facilitate the delivery of comprehensive, coordinated, and patient-centered primary care. REFLECTIONS ON THE MENTAL HEALTH PARITY AND ADDICTION Reflections on the Mental Health Parity and Addiction Equity Act After 10 Years | Today marks the 10th anniversary of the Mental Health Parity and Addiction Equity Act. Prior to its enactment on October 3, 2008, consumer groups, providers, and some segments of the health insurance industry worked long and hard to enact legislation that promised coverage for mental illnesses and substance use EVALUATING THE GRAYLINGWELL HOSPITAL COMMUNITY PSYCHIATRIC The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. MEDICAL POLITICS AND CANADIAN MEDICARE 68 H.M. Stevenson, A. P. Williams, and E. Vayda construction, disease control, and medical research (Weller and Manga 1983, 227). If these developments quickened the pace of evolution toward a national health insurance system in Canada, they also clarified MILBANK MEMORIAL FUND The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.. Learn More THE MILBANK QUARTERLY Confronting the Consequences of National Federation of Independent Business v Sebelius to Insure the Poor More than a decade after the passage of the Affordable Care Act, the poorest residents in the 12 states that have not expanded Medicaid — who are disproportionately Black or American Indian — remain without health insurance.S ara Rosenbaum of George Washington University School of “HERE. NOT THERE”: REBALANCING HEALTH SYSTEMS TOWARD “Here. Not There”: Rebalancing Health Systems Toward Primary Care | New data from the Centers for Disease Control and Prevention indicate the US reversed a three-year decline in life expectancy in 2018, thanks to gains made in combatting opioid misuse deaths and improved cancer treatment. But in his latest “View from Here,” Milbank Memorial Fund President Christopher Koller HOW STATES ARE INCREASING THEIR INVESTMENT IN PRIMARY CARE Strengthening primary care in the United States has been a prominent health policy topic for more than 13 years, tracing back to the publication of “Joint Principles of the Patient-Centered Medical Home.”There have been waves of efforts since then by federal and state government, health insurers, and provider organizations to transform primary care delivery, as well as change how primary PROSPECTIVE PAYMENT FOR PRIMARY CARE: LESSONS FOR FUTURE This report analyzes earlier primary care prospective payment models and offers lessons and insights for designing a prospective payment for primary care that will facilitate the delivery of comprehensive, coordinated, and patient-centered primary care. REVISITING THE LAND OF THE INDIVIDUAL MANDATE The years 2013 through 2016 were excruciating for the Massachusetts Health Connector. In 2013, the Connector was among the nation’s most troubled federal/state health insurance exchanges, as it endured an epic collapse of its new website to help consumers purchase individualhealth insurance.
EVALUATING THE QUALITY OF MEDICAL CARE The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy. WHO GLOBAL ACTION PLAN TO PROMOTE THE HEALTH OF REFUGEES WHO Global Action Plan to Promote the Health of Refugees and Migrants | Forced migration—whether from persecution, climate change, or poverty—is undermining key global health goals, including universal health coverage and health equity. In May, the World Health Organization (WHO) adopted a five-year Global Action Plan (GAP) to Promote the Health of Refugees and Migrants. MARRYING VALUE-BASED PAYMENT AND THE SOCIAL DETERMINANTS Milbank Memorial Fund www.milbank.org 3 Abstract State Medicaid programs are experimenting with two vital trends in health policy—value- based payment (VBP) and interventions intended to address social determinants of health HEALTH WORKER SHORTAGES AND GLOBAL JUSTICE v Milbank Memorial Fund Most countries of the world have a stated commitment to improving the health of their inhabitants. However, there are enormous challenges in attaining that MILBANK MEMORIAL FUNDMenu
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NEW MILBANK QUARTERLY ISSUE RELEASED: MARCH 2021 Current Issue Opinions*
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
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Early View Original Scholarship EFFECTS OF THE COVID-19 EMERGENCY AND NATIONAL LOCKDOWN ON ITALIAN CITIZENS’ ECONOMIC CONCERNS, GOVERNMENT TRUST, AND HEALTH ENGAGEMENT: EVIDENCE FROM A TWO-WAVE PANEL STUDY By: Guendalina Graffigna, Lorenzo Palamenghi, Mariarosaria Savarese, Greta Castellini, Serena Barello, Context: Because of the COVID-19 pandemic, between February 23 and March 8, 2020, some areas of Italy were declared “red zones,” withcitizens… More
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Early View Perspective ARTIFICIAL INTELLIGENCE AND LIABILITY IN MEDICINE: BALANCING SAFETYAND 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 intoclinical… More
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Early View Perspective OUR POSTPANDEMIC WORLD: WHAT WILL IT TAKE TO BUILD A BETTER FUTURE FOR PEOPLE AND PLANET? By: May CI Van Schalkwyk, Nason Maani, Jonathan Cohen, Martin McKee, Mark Petticrew, A crisis forces us back to the questions themselves and requires from us either new or old answers, but in any case direct judgment. A crisis becomes… More*
Early View Perspective THE COMMERCIAL DETERMINANTS OF THREE CONTEMPORARY NATIONAL CRISES: HOW CORPORATE PRACTICES INTERSECT WITH THE COVID-19 PANDEMIC, ECONOMIC DOWNTURN, AND RACIAL INEQUITY By: Nason Maani, May CI Van Schalkwyk, Mark Petticrew, SandroGalea,
The United States finds itself amid three concurrent and interrelated crises. First, at the time of writing, the United States has reportedmore than… More
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_THE MILBANK QUARTERLY_ OPINION STATE INNOVATIONS AND THE INDIVIDUAL MANDATE In late 2017, President Donald Trump and Republican majorities in Congress eliminated the tax penalty tied to the individual health insurance mandate… MoreJohn E. McDonough
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WHAT ARE THE HEALTH CONSEQUENCES OF SYSTEMIC RACISM? May 25, 2021, marks the first year following the murder of George Floyd by convicted former police officer Derek Chauvin. Videos of police killings… More*
Rashawn Ray
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Lawrence O. Gostin
THE FUTURE OF THE AFFORDABLE CARE ACT IS A SOCIAL AND POLITICAL DECISION THAT SHOULD NOT BE DECIDED BY UNELECTED SUPREME COURTJUSTICES
The future of the Affordable Care Act (ACA) is on the line at the Supreme Court. Again! For the 3rd time since its enactment in 2010. This term, the… MoreLawrence O. Gostin
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BUILDING BACK BETTER CONFRONTING THE CONSEQUENCES OF _NATIONAL FEDERATION OF INDEPENDENT BUSINESS V SEBELIUS _ TO INSURE THE POOR When it comes to examples of health injustice, the United States has a wealth of candidates to consider. One of the worst, however, is thatmore than… More
Sara Rosenbaum
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MEETING THE MOMENT: POLICY CHANGES TO STRENGTHEN SNAP AND IMPROVEHEALTH
The Supplemental Nutrition Assistance Program (SNAP), the largest government nutrition assistance program in the United States, providesmoney for… More
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Julia A. Wolfson
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Cindy W. Leung
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Alyssa Moran
AIM YOUR ENTHUSIASM: TARGETING INCREASED MIDDLE-CLASS HEALTH INSURANCE TAX CREDITS One feature of President Biden’s COVID-19 relief bill is a trial run of his earlier proposals to expand subsidies for people who use Affordable Care… MoreMark V. Pauly
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