Evolving Federal and State Health Care Policy: Toward a More Integrated and Comprehensive Care-Delivery System for Children With Medical Complexity

Pediatrics
Carolyn S LangerDavid Keller

Abstract

Irrespective of any future changes in federal health policy, the momentum to shift from fee-for-service to value-based payment systems is likely to persist. Public and private payers continue to move toward alternative payment models that promote novel care-delivery systems and greater accountability for health outcomes. With a focus on population health, patient-centered medical homes, and care coordination, alternative payment models hold the potential to promote care-delivery systems that address the unique needs of children with medical complexity (CMC), including nonmedical needs and the social determinants of health. Notwithstanding, the implementation of care systems with meaningful quality measures for CMC poses unique and substantive challenges. Stakeholders must view policy options for CMC in the context of transformation within the overall health system to understand how broader health system changes impact care delivery for CMC.

References

May 14, 2008·Health Affairs·Donald M BerwickJohn Whittington
Jun 18, 2010·Medical Care Research and Review : MCRR·Sara J SingerEric Schneider
Jul 8, 2010·Academic Pediatrics·Christopher StilleUNKNOWN Academic Pediatric Association Task Force on Family-Centered Medical Home
Feb 13, 2014·Journal of Pediatric Hematology/oncology·Lisa J ChamberlainPaul H Wise
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Mark W FriedbergRachel M Werner
Apr 30, 2014·Pediatrics·UNKNOWN Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee
Jan 27, 2015·The New England Journal of Medicine·Sylvia M Burwell
Feb 11, 2015·Pediatrics·Kelly J KelleherWilliam Gardner

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Citations

May 21, 2019·Journal of Developmental and Behavioral Pediatrics : JDBP·Adrian D Sandler
Jul 24, 2020·Hospital Pediatrics·Nancy A MurphyEdward B Clark
Aug 8, 2019·Journal of the American Association of Nurse Practitioners·Kristine RuggieroRichard Antonelli
Dec 26, 2018·Pediatrics·Ryan J Coller, Mary L Ehlenbach

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