Dr. Milstein is a Professor of Medicine at Stanford and directs the Stanford Clinical Excellence Research Center. The Center is a collaboration of the Schools of Medicine, Engineering and Business to design and test new health care delivery models that both lower per capita health care spending and improve clinical outcomes.


Milstein’s career and ongoing research is focused on acceleration of clinical service innovations that improve the societal value of health care. He serves as the Medical Director of the Pacific Business Group on Health (PBGH), the largest regional health care improvement coalition in the U.S. He also guides employer-sponsored clinically-based innovation development for Mercer Health and Benefits and chairs the Steering Committee that directs the largest U.S. physician pay-for-performance program, operated by the Integrated Healthcare Association. Previously he co-founded the Leapfrog Group and Consumer-Purchaser Disclosure Project, and served as a Congressionally-appointed MedPAC Commissioner.


Because of his nationally distinguished innovation in health care cost reduction and quality gains, Milstein was selected for the highest annual award of the National Business Group on Health (NBGH) and of the American College of Medical Quality. Elected to the Institute of Medicine (IOM) of the National Academy of Sciences, he chaired the planning committee of its examination of best methods to lower per capita health care spending and improve clinical outcomes.


Milstein was educated at Harvard (BA Economics), Tufts (MD) and(UC Berkeley (MPH Health Services Evaluation and Planning).


Recent Posts by Arnold Milstein

Engineering Science And Episode-Based Hospital Payment

Editor’s Note. This post is authored by Eugene Litvak PhD, Arnold Milstein MD, MPH and Mark Smith MD, MBA. Photos and bios for Milstein and Smith are above. Litvak is President and CEO of the Institute for Healthcare Optimization and also an Adjunct Professor in Operations Management in...

Are Higher-Value Care Models Replicable?

Editor’s Note: In addition to Arnold Milstein and Pranav Kothari (pictures and bios above), coauthors of this post include Rushika Fernandopulle MD, MPP, of Harvard Medical School and Renaissance Health in Boston, and Theresa Helle of the Boeing Company in Seattle. For more on health care...

Medical Homes — And Medical ‘Home Runs’?

Editor’s Note: The post below by Arnold Milstein is published in tandem with the release of Health Affairs’ Sept-Oct. 2008 issue, a thematic volume titled “Overhauling The Delivery System” that focuses on medical  homes, retail clinics, and other models of health care...

September 10, 2008Health Professionals, Quality

Toxic Waste In The U.S. Health System

Editor’s Note: Today, The Health Affairs Blog concludes a series of four posts on trends in performance measurement and performance-based payment in health care. The series focuses particularly on the increasing emphasis being placed on measuring and rewarding cost-efficiency. Arnold Milstein...