Alternative Payment Models to Support Child Health & Development: How to Design and Implement New Models

Policy Brief

Alternative Payment Models to Support Child Health & Development: How to Design and Implement New Models

Published date

June 25, 2020

Description: While children have a broad set of health, social, and developmental needs, financing for services to meet those needs remains siloed. Such separation discourages coordination across health care and social services, and these rigid funding streams prevent stakeholders from customizing resources to the needs of their community’s children and families. There are opportunities to provide greater local flexibility for child-focused alternative payment models (APMs). While implementation of such models has been limited to date, the willingness of health care payers to use these new payment models for many populations and conditions signals the potential of applying APMs to children and families’ health, social, and developmental needs. This brief outlines a series of questions organizations must answer as they seek to build the core components of an APM. The brief then explores potential challenges to implementing APMs for kids’ health and development, including legal and regulatory restrictions on financing streams; collaborating across sectors that often have very different cultures and histories; and sharing different types and sources of data. Finally, the brief explores potential strategies for overcoming these challenges and implementing new and innovative APMs to support child health and development.

Duke-Margolis Team

Robert Saunders

Robert Saunders, PhD

Senior Research Director, Health Care Transformation
Adjunct Associate Professor
Senior Team Member
Margolis Core Faculty

Rachel Roiland

Rachel Roiland, RN, PhD

Managing Associate


Elizabeth Singletary

Research Assistant

Susan Dentzer

Susan Dentzer

Senior Policy Fellow

Mark McClellan

Mark McClellan, MD, PhD

Director of Margolis Center
Robert J. Margolis, MD, Professor of Business, Medicine and Policy
Margolis Executive Core Faculty