Widespread adoption of the three key strategies — adopting anti-racist policies and practices; co-creating equitable partnership between patients, families, and providers; and identifying family strengths and addressing health-related social needs — within the pediatric health care requires new accountability and financing structures to support enhanced approaches to care.
Following are resources that offer opportunities to use financing and accountability levers to create and sustain child health care transformation.
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Developing Financially Sustainable Child Health Transformation: Lessons from Primary Care Innovators
Describes existing payment barriers and opportunities for primary care providers serving children to work toward financially sustaining care transformation.
Medicaid and Racial Health Equity
Offers a primer on Medicaid levers to advance racial health equity.
Testing One, Two, Three: CMS’ New Demonstration Opportunity to Address Health-Related Social Needs
Summarizes key takeaways from 2022 waiver approvals and CMS guidance as states increasingly leverage 1115 waivers to address HRSN in Medicaid.
Capturing Patient and Staff Experiences to Assess Complex Care Program Effectiveness
Spotlights insights from health care providers on developed patient- and staff-reported measures to help assess the experience and perceptions of well-being, equity, care, and care integration for those with complex health and social needs.
Financing Strategies to Address the Social Determinants of Health in Medicaid
Offers an overview of financing levers for Medicaid to address social determines of health.
Medicaid Coverage of Community Health Worker Services
Provides an overview of Medicaid levers for covering community health worker services.
Improving The Measurement of Structural Racism to Achieve Antiracist Health Policy
Highlights key research areas as well as qualitative and quantitative methodologies to capture the multifaceted and systemic properties of structural racism in health care.
Advancing Health Equity through APMs: Guidance for Equity-Centered Design and Implementation
Offers practical guidance to payers, providers, and other stakeholders on how they can leverage VBP to advance health equity and better address community needs.
Addressing Adolescent Health Care and Well-Being Through Financial Incentives
Identifies opportunities to incentivize high quality care for adolescents through payment reform.
Achieving Racial and Ethnic Equity in U.S. Health Care: A Scorecard of State Performance
Showcases 24 indicators of health system performance, categorized by state and by race and ethnicity, to assess health outcomes, health care access, quality and use of health care services, and overall underlying inequities.
Value-Based Payment to Support Children’s Health and Wellness: Shifting the Focus from Short-Term to Life Course Impact
Offers examples of value-based payment models serving children as well as opportunities to develop more meaningful and outcomes-based quality measures for children.
Value-Based Payment to Support Children’s Health and Wellness: Shifting the Focus from Short-Term to Life Course Impact
Provides examples of Medicaid VBP models serving children and identifies key themes related to implementing VBP models for children.