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Milbank Memorial Fund & The Milbank Quarterly
@milbankfund.bsky.social
The Milbank Memorial Fund is a private foundation that works to improve population health and health equity by collaborating with leaders and decision makers. We publish The Milbank Quarterly, a journal of population health and health policy.
How can Medicaid agencies continue to make progress on community health and well-being in today’s policy environment? A new issue brief drawing on community-based research published with @dukemargolis.bsky.social identifies 6 strategies.
Policy Strategies for State Medicaid Agencies to Advance Community Health and Well-Being   | Milbank Memorial Fund
Copublished with the Duke-Margolis Institute for Health Policy Abstract  Recent federal policy reforms and funding reductions pose significant
www.milbank.org
December 9, 2025 at 3:58 PM
In his final View from Here, Immediate Past President Christopher Koller considers the indirect impacts of HR1 on nursing home residents, staff, and, by extension, all of us + the challenges that state health officials will face as the effects of congressional actions fall on states.
No Such Thing as Being Out of Harm’s Way  | Milbank Memorial Fund
“Hi, Chris and John! How are you doing?”  Dawnie greets us cheerfully, pushing a cart full of dirty utensils towards the elevator of the nursing home
www.milbank.org
December 4, 2025 at 8:14 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
As PCC's Ann Greiner recently told @ddiamond.bsky.social, CMS’s 2026 MPFS is an important step toward reversing more than a decade of underinvestment in primary care and toward recognizing its central role in keeping folks healthy.

More in @washingtonpost.com:
www.washingtonpost.com/health/2025/...
GOP steps up pressure on American Medical Association, physician payments
Sen. Bill Cassidy (R-Louisiana) is demanding answers from the American Medical Association about how it helps devise physician payment rates.
www.washingtonpost.com
December 2, 2025 at 2:57 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
Delaying the timing of vaccinating infants against hepatitis B — which ACIP could vote on later this week — would likely lead to more chronic infections in kids. www.statnews.com/2025/12/02/c...
Expert review finds delaying the hepatitis B vaccine birth dose would increase chronic infections in kids
Delaying the timing of vaccinating infants against hepatitis B — which ACIP could vote on later this week — would likely lead to more chronic infections in kids.
www.statnews.com
December 2, 2025 at 6:32 PM
Medicaid waivers to address health-related social needs (HRSN) are under threat due to federal spending cuts, guidance rescinding HRSN language, and executive orders criminalizing homelessness, says @haroldpollack.bsky.social in a new Milbank Quarterly Opinion.
Medicaid’s Essential Investments to Address Health-Related Social Needs | Milbank Memorial Fund
nsider the story of John Miller, a fictionalized Chicagoan, who lives with a serious mental illness and co-occurring addiction disorders. He recently left a psychiatric inpatient facility.  Estranged ...
www.milbank.org
December 2, 2025 at 7:12 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
My most recent column in Milbank Quarterly Opinion. Medicaid’s Essential Investments to Address Health-Related Social Needs www.milbank.org/quarterly/op...
Medicaid’s Essential Investments to Address Health-Related Social Needs | Milbank Memorial Fund
nsider the story of John Miller, a fictionalized Chicagoan, who lives with a serious mental illness and co-occurring addiction disorders. He recently left a psychiatric inpatient facility.  Estranged ...
www.milbank.org
November 22, 2025 at 2:31 PM
In a new article, @joannekenen.bsky.social reports that data show the NC's innovative Healthy Opportunities Pilots program was reducing health care spending/emergency care. The Medicaid pilot was halted on July 1 due to funding cuts from the state legislature, but lawmakers could still revive it.
The Future of North Carolina’s Healthy Opportunities Pilots and What it Means for Other Medicaid Programs Considering Social Needs Programs  | Milbank Memorial Fund
News article: North Carolina’s much-heralded Medicaid experiment, which addressed social drivers of health like food, housing, and transportation more broadly and systematically than in other states, ...
www.milbank.org
December 1, 2025 at 4:48 PM
In a new Opinion, Dalton Conley explores how the decades-long debate over fluoridation reflects the tension between short-term public health gains and potential long-term risks. Fluoridation is recognized as a singular triumph in preventive care, dramatically reducing cavities and related diseases.
Fluoride in Drinking Water (and Our Brains) | Milbank Memorial Fund
Almost 28 years ago, I became a young, new father. Too young by a couple months, actually, since my daughter was born prematurely. During her
www.milbank.org
November 26, 2025 at 4:06 PM
In a new article in NPR Shots, @joannekenen.bsky.social Kenen explains how the Big Beautiful Bill's limits on federal student loans for health professional students are expected to lead to a less diverse health care workforce. www.npr.org/sections/sho...
November 25, 2025 at 6:59 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
HHS responds -- again -- to questions about changing vaccine standards with two words.

But as I wrote in @milbankfund.bsky.social a few weeks ago, asserting "gold standard" science is not a meaningful response.

Nor does it reflect integrity in policymaking.

www.milbank.org/quarterly/op...
November 21, 2025 at 2:29 PM
Failure to extend the enhanced tax credits to purchase health plans on the ACA marketplace & new Medicaid policy changes, will erode the ACA’s successes. In a new guest Opinion, Sherry Glied & Lawrence Brown argue progressives should continue to defend the ACA rather pursue a single-payer strategy.
Where Next for Health Policy? | Milbank Memorial Fund
Despite all the criticism, the ACA has had notable success in achieving its objectives.
www.milbank.org
November 19, 2025 at 4:00 PM
A new open-access Milbank Quarterly Perspective introduces the concept of Neighborhood Nursing, “an innovative universal care infrastructure designed to shift the US health care toward proactive, prevention-centered care organized geographically in neighborhoods.”
Now What? Neighborhood Nursing's Answer to the US Health Care Paradox of Spending More but Getting Less | Milbank Quarterly
Despite spending more per capita on healthcare than any other nation, the United States experiences declining life expectancy and increasing chronic disease burden—a paradox reflecting fundamental lim...
www.milbank.org
November 18, 2025 at 4:29 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
In our latest @milbankfund.bsky.social Quarterly Opinion, "Public Concern about Threats to Public Health and Science Remains Modest," COMM members @rebekahnagler.bsky.social, @efranklinfowler.bsky.social, and @sarahgollust.bsky.social reveal key findings from a new national follow-up survey.
November 13, 2025 at 5:38 PM
US adults’ awareness of actions threatening public health and science declined between March and September 2025, according to a new survey from @commhsp.bsky.social.
Public Concern about Threats to Public Health and Science Remains Modest  | Milbank Memorial Fund
In March 2025, our team conducted a public opinion survey to document the extent to which the U.S. public was aware of the rapidly emerging threats to
www.milbank.org
November 13, 2025 at 3:11 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
📢 LIVE NOW: The 2025 Health Care Cost Trends Hearing!

Join the conversation on making the Commonwealth’s health care system more affordable, accessible, and equitable for all residents.

🔗 Watch live: masshpc.gov/meetings/ann...
#HealthPolicy #CTH25
November 12, 2025 | Massachusetts Health Policy Commission
Working Together to Safeguard the Commonwealth’s Commitment to Health Care Affordability, Access, and Equity
masshpc.gov
November 12, 2025 at 2:06 PM
A first step toward lowering health care costs is analyzing health care spending data to understand root causes of health care spending growth. An update to a 2021 Peterson-Milbank guide for states offers best practices for conducting these analyses by market/payer/provider entity.
Best Practices in Health Care Claims Data Analysis to Inform State Action and Control Costs | Milbank Memorial Fund
Over the last decade, high and rising health care costs have squeezed patients’ wallets, strained local economies, and consumed a growing share of state budgets. In response, states have increasingly ...
www.milbank.org
November 12, 2025 at 2:52 PM
Recent politically motivated FDA decisions restricting access for COVID-19 vaccine boosters and “pre-approving” the old drug leucovorin as a treatment for autism contradict population-based evidence, says Paul T. Kim of Kendall Square Policy in a new Milbank Quarterly guest Opinion.
The New Politics of New Drug Approval | Milbank Memorial Fund
As feared at the start of the second Trump Administration, the Food and Drug Administration (FDA) has proven a willing good soldier in fulfilling the
www.milbank.org
November 11, 2025 at 6:48 PM
Almost all states have extended Medicaid coverage for 12 months after the end of pregnancy, when most pregnancy-related deaths occur. A new post from authors at @urbaninstitute.bsky.social highlights that implementation will require extra attention given funding cuts/eligibility changes to Medicaid
Robust Implementation of Medicaid Postpartum Extensions Needed to Maintain Maternal Health Momentum | Milbank Memorial Fund
In 2024, there were 18.7 maternal deaths per 100,000 live births, with Black and Native women at significantly higher risk of maternal mortality. Medicaid is at the forefront of addressing the US mate...
www.milbank.org
November 10, 2025 at 3:58 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
Learn how Kentucky’s #Medicaid and #PublicHealth departments partnered to update the state’s CGM policy to expand access to these valuable #diabetes management tools. bit.ly/46O2YyY @HelmsleyTrust
Expanding Access to Continuous Glucose Monitors in Kentucky Through Cross-Agency Partnerships - Center for Health Care Strategies
This profile highlights how Kentucky — through a data-driven, collaborative approach — updated its Medicaid CGM policy and targeted outreach and resources to members and providers to increase the use ...
bit.ly
November 5, 2025 at 7:45 PM
In a new Milbank Quarterly Opinion, @drjoshs.bsky.social questions the Trump administration’s use of the term “gold standard science” to justify recent public health policy decisions. He argues that the concept is being used to discredit established scientific processes and expert advisors.
What Could Be Wrong with "Gold Standard Science"? | Milbank Memorial Fund
If repetition is the mother of learning, then I am learning that the second Trump administration likes to use the term "gold standard science." It is the
www.milbank.org
November 5, 2025 at 3:43 PM
Join a webinar hosted by Peterson-Milbank Program for Sustainable Health Care Costs and @bailithealth.bsky.social on November 18 from 2-3 p.m. ET exploring how states can garner compelling data insights from their All-Payers Claims Databases (APCD) to inform health care affordability initiatives.
Welcome! You are invited to join a webinar: Informing State Action to Control Health Care Costs: Best Practices in Claims Data Analysis . After registering, you will receive a confirmation email about...
The webinar, hosted by the Peterson-Milbank Program for Sustainable Health Care Costs and Bailit Health, will feature recommendations from a new publication, Best Practices in Health Care Claims Data ...
us02web.zoom.us
November 4, 2025 at 3:43 PM
Reposted by Milbank Memorial Fund & The Milbank Quarterly
“Ensuring State Health Care Affordability Strategies Work for All,” authored for @milbankfund.bsky.social by Erin Taylor & Matt Reynolds. Four levers for states: embed equity in cost‐growth targets, equitable price oversight, consumer relief on costs/debt, and adequate Medicaid rates. bit.ly/4oPY0t7
Ensuring State Health Care Affordability Strategies Work for All | Milbank Memorial Fund
This post describes ways states can safeguard and promote health equity alongside their efforts to make health care more affordable, particularly for those who bear the greatest burden of high and ris...
bit.ly
November 4, 2025 at 1:20 PM
In a new States of Health post, Erin Taylor and Matt Reynolds of @bailithealth.bsky.social identify overarching approaches to address disparities in the affordability of health care by income, disability status, rurality, and race and ethnicity.
Ensuring State Health Care Affordability Strategies Work for All | Milbank Memorial Fund
This post describes ways states can safeguard and promote health equity alongside their efforts to make health care more affordable, particularly for those who bear the greatest burden of high and ris...
www.milbank.org
November 3, 2025 at 4:38 PM
Following the 2022 Dobbs v Jackson Supreme Court decision ending the constitutional protections for abortion care, 18 states have implemented restrictive abortion policies. In a new Milbank Quarterly Opinion, Paula Lantz of the University of Michigan writes that the emerging research
The Impact of Restrictive State Abortion Laws: State of the Research Evidence in 2025 | Milbank Memorial Fund
Despite the dynamic and multidimensional nature of the legal landscape for abortion, the negative effects of restrictive state abortion policies are beginning to emerge.
www.milbank.org
October 30, 2025 at 2:27 PM
As the federal government shutdown continues and the USDA opts not to use emergency funds for the SNAP program, 42 million people stand to lose all federal food/nutrition assistance on Nov. 1. In a Q&A, @natashap.bsky.social shared findings from her Milbank Quarterly research on the benefits of SNAP
The Impact of Income Support Policies on Children's Health | Milbank Memorial Fund
News article: In her contribution to The Milbank Quarterly centennial anniversary issue, Natasha V. Pilkauskas discusses what the evidence shows about the role of different types of income support pol...
www.milbank.org
October 30, 2025 at 2:26 PM