Improving access to health and social care is foundational to narrowing systemic inequities in health outcomes during the continued implementation of managed care in North Carolina. At the same time, federal and state-level Medicaid policy reforms are rapidly evolving, prompting a need for responsive, practical evaluation and guidance around these budgetary and operational changes. Recognizing...

Improving access to health and social care is foundational to narrowing systemic inequities in...

Through this research project, our goal is to develop evidence-based recommendations for centering equity in NC Medicaid VBP design to reduce racial and ethnic inequities in health and health outcomes. Through a mixed methods approach using community-engaged research strategies and Medicaid claims-based simulations of payment model components, we will elevate community perspectives in VBP design...

Through this research project, our goal is to develop evidence-based recommendations for centering...

VBP models provide additional flexibility to address social needs, structural determinants of health, and social determinants of health, such as services and care coordination that are not typically covered (but may be particularly important) for people experiencing worse outcomes due to socioeconomic status, race, ethnicity, social needs, or other  factors. Below is a portfolio of work to inform...

VBP models provide additional flexibility to address social needs, structural determinants of...

To support state, local, and private sector leaders in promoting the efficient and equitable distribution of COVID-19 vaccines, the Duke-Margolis state policy team has identified lessons learned from efforts to date, identified promising practices for improving vaccination access and uptake, and addressed emerging challenges. The state policy team provides regular technical assistance and support...

To support state, local, and private sector leaders in promoting the efficient and equitable...

In 2021, the National Governors Association Center for Best Practices, the National Academy for State Health Policy, and the Duke-Margolis Center for Health Policy convened governor-appointed health equity COVID-19 task force leaders throughout the nation. The Equity Learning Network served as a platform for sharing best and promising practices for improving health equity in the context of the...

In 2021, the National Governors Association Center for Best Practices, the National Academy for...