Evidence map›Paper›PMID 38156763›Full record

ArticleMedical care research and review : MCRR2024

Investing in Child Health Through Alternative Payment Models: Lessons From North Carolina Integrated Care for Kids.

Greeshma James, Elizabeth Kasper, Charlene A Wong, David M Anderson, Sarah Allin, Michael J Steiner, Kori B Flower, Daniel Kimberg, Rushina Cholera

Open access · greenAbstract read
In one paragraph

Article in Medical care research and review : MCRR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Greeshma JamesDuke Margolis Center for Health Policy, Durham, NC, USA.ORCID 0000-0003-2030-9964
Elizabeth KasperNorth Carolina Department of Health and Human Services, Raleigh, USA.
Charlene A WongNorth Carolina Department of Health and Human Services, Raleigh, USA.
David M AndersonDuke Margolis Center for Health Policy, Durham, NC, USA.
Sarah AllinDuke Margolis Center for Health Policy, Durham, NC, USA.
Michael J SteinerNorth Carolina Integrated Care for Kids, Durham, USA.
Kori B FlowerNorth Carolina Integrated Care for Kids, Durham, USA.
Daniel KimbergNorth Carolina Integrated Care for Kids, Durham, USA.
Rushina CholeraDuke Margolis Center for Health Policy, Durham, NC, USA.
NC Department of Health and Human Services · USUniversity of North Carolina at Chapel Hill · USDuke University · USManatt, Phelps & Phillips (United States) · US

Funding

Duke Center for Advancement of Child Health (CAtCH)K12HD105253 · NICHD · DUKE UNIVERSITY · PI Corinne Mary Linardic, Ann M. Reed · 2021 to 2026
$1.5M
NICHD NIH HHS K12 HD105253
6 · The paper itself

Abstract

Pediatric value-based payment reform has been hindered by limited return on investment (ROI) for child-focused measures and the accrual of financial benefits to non-health care sectors. States participating in the federally-funded Integrated Care for Kids (InCK) models are required to design child-centered alternative payment models (APMs) for Medicaid-enrolled children. The North Carolina InCK pediatric APM launched in January 2023 and includes innovative measures focused on school readiness and social needs. We interviewed experts at NC Medicaid managed care organizations, NC Medicaid, and actuaries with pediatric value-based payment experience to assess the NC InCK APM design process and develop strategies for future child-focused value-based payment reform. Key principles emerging from conversations included: accounting for payer priorities and readiness to implement measures; impact of data uncertainty on investment in novel measures; misalignment of a short-term ROI framework with whole child health measures; and state levers like mandates and financial incentives to promote implementation.

Indexed as

MedicaidChildChild HealthChild Health ServicesDelivery of Health Care, IntegratedHumansNorth CarolinaReimbursement MechanismsUnited Statesalternative payment modelsocial determinants of healthwhole child health

Identifiers

PMID38156763
PMCPMC11093703
OpenAlexW4390412414

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.