Federal Health Care Transformation
The mission of the Duke-Margolis health care transformation portfolio draws on Duke’s clinical and research expertise to identify care delivery and payment transformation strategies that have an impact in real-world settings; cultivate stakeholder engagement; and develop quantitative and qualitative evidence for supporting major payment and care delivery reforms at the practice, state, and national level.
Projects Relating to Federal Health Care Transformation
Project
Generating Evidence-Based Recommendations for Advancing Access to High Quality, Whole-Person Care in NC Medicaid
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...
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Generating Evidence-Based Policy Options for Centering Community Member Perspectives in NC Medicaid VBP Design
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...
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Moving and Scaling Home-Based Primary Care Phase III: Leveraging Policy Reforms to Scale Home-Based Primary Care
There is growing need for home-based primary care to serve older adults and those with complex health and social needs who struggle to access care in traditional care settings. This project serves to amplify evidence-based policy recommendations to health leaders and thereby strengthen policy efforts to scale home-based primary care.
There is growing need for home-based primary care to serve older adults and those with complex...
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State Health Care Transformation and Medicaid Transformation
Click below to learn more about our efforts to support health care transformation across states.
Health Care Transformation Related Topics
Click here for more information on Medicare Accountable Care Transformation.
Click here for more information on Risk Adjustment
Click here for more information on Serious Illness
Click here for more information on Specialty Care Reform
Click here for more information on Future of Health
Click here for more information on Value-based Payment for Health Care Delivery.
Click here for more information on Safety Net and Home-Based Care
Click here for more information on 21st Century Public Health
Duke-Margolis works to advance health policy for these underserved communities and provides practical, evidence-based guidance for designing value-based payment models that can inform federal and state initiatives to better support safety net institutions and improve care for historically underserved and under-resourced communities—initiatives that exist at the intersection of health care, public health, and social services.
More information:
Emerging Initiative - Strengthening Public Health and Health Care Partnerships for the Future
Duke-Margolis Faculty & Research Team
Nancy Allen LaPointe
Faculty Fellow, Duke-Margolis Institute for Health Policy
Margolis Core Faculty
Adjunct Associate Professor in the Department of Medicine Faculty
Alida Austin
Policy Research Assistant
Wenbo Bai, MPH
Senior Policy Analyst
Rachel Bonesteel, MS
Senior Policy Analyst
Hayden Bosworth, PhD
Professor in Population Health Sciences
Margolis Affiliated Faculty
Nathan Boucher, DrPH
Faculty Director, Health Policy Undergraduate Certificate
Director of Undergraduate Studies in the Sanford School of Public Policy
Associate Research Professor in the Sanford School of Public Policy
Margolis Core Faculty
Don Bradley, MD
Consulting Professor in the Department of Community and Family Medicine
Margolis Core Faculty
Kylie Brown, MPH
Policy Analyst
Lesley Curtis, PhD
Chair and Professor, Department of Population Health Sciences
Margolis Executive Core Faculty
Neil de Crescenzo, MBA
Visiting Fellow
Sara Debab
Policy Analyst
Audrey Ford, MS
Policy Research Associate
Michael Frakes, JD, PhD
Professor of Law
Margolis Core Faculty
Ziad Gellad, MD, MPH, AGAF
Associate Professor of Medicine
Margolis Core Faculty
Kamal Golla, MD, MPH
Core Faculty
Bradi Granger, PhD
Professor of Nursing
Margolis Core Faculty
Margolis Executive Core Faculty
Adrian Hernandez, MD, MHS
Vice Dean and Executive Director of the Duke Clinical Research Institute
Vice Dean for Clinical Research, School of Medicine
Margolis Exective Core Faculty
Katie Huber, MPH
Policy Research Associate
Jeremy Jacobs
2020 Margolis Intern
2021 Margolis Intern
Brystana Kaufman, MSPH, PhD
Assistant Professor, Population Health Sciences
Margolis Core Faculty
Valerie Lehman, MHA
Assistant Research Director
Monica Lemmon, MD
Associate Professor of Pediatrics and Population Health Sciences
Margolis Core Faculty
Matthew Maciejewski, PhD
Professor in Population Health Sciences
Margolis Core Faculty
Veronica Marshall-Kirk
Policy Research Assistant
2024 Margolis Intern
Richard Mather III, MD, MBA (Chad)
Assistant Professor of Orthopaedic Surgery
Margolis Core Faculty
Mark McClellan, MD, PhD
Director of the Duke-Margolis Institute for Health Policy
Robert J. Margolis, MD, Professor of Business, Medicine and Policy
Margolis Executive Core Faculty
Aaron McKethan, PhD
Senior Policy Fellow
Adjunct Professor of Population Health Sciences
Margolis Core Faculty
Frank McStay, MPA
Assistant Research Director
Angelo Milazzo, MD
Professor of Pediatrics
Margolis Affiliated Faculty
Inga Morken
Policy Research Assistant
Steven Patierno, PhD
Professor of Medicine, Community & Family Medicine, Pharmacology and Cancer Biology
Margolis Core Faculty
Emily Proehl, MPH
Policy Analyst
Shelby Reed, PhD, RPh
Professor in Population Health Sciences
Margolis Executive Core Faculty
Samantha Repka, MS
Research Associate
Barak Richman, PhD
Edgar P. and Elizabeth C. Bartlett Professor of Law
David Ridley, PhD
Professor of the Practice of Business and Economics
Margolis Executive Core Faculty
Gillian Sanders Schmidler, PhD
Deputy Director, Duke-Margolis Institute for Health Policy
Professor of Population Health Sciences, School of Medicine
Margolis Executive Core Faculty
Devdutta Sangvai, MD, MBA
Faculty Director of the Margolis Summer Experience
Margolis Core Faculty
Margolis Executive Core Faculty
Professor, Family Medicine, Pediatrics, Psychiatry
Duke SOM Professor, Program in Education
Megan Shepherd-Banigan, PhD
Assistant Professor in Population Health Sciences
Margolis Core Faculty
Montgomery Smith, MPH
Policy Research Associate
Corinna Sorenson, PhD, MHSA, MPH
Faculty Director of Undergraduate and Graduate Studies
Senior Advisor and Founding Director, Margolis Scholars Program
Assistant Professor in Population Health Sciences and Public Policy
Margolis Core Faculty
Chelsea Swanson, MPH
Assistant Research Director
Donald H. Taylor, PhD, MPP
Professor in the Sanford School of Public Policy
Peter Ubel, MD
Madge and Dennis T. McLawhorn University Professor
Margolis Core Faculty
Krishna Udayakumar, MD, MBA
Director of Post-Graduate Education Initiatives, Margolis Center
Associate Professor of Global Health and Medicine
Margolis Executive Core Faculty
Rachel Upton, PhD, MA
Statistician
Courtney Van Houtven, PhD
Professor in Population Health Sciences
Margolis Core Faculty
Brianna Van Stekelenburg, MPP
Research Associate
Virginia Wang, PhD
Associate Professor in Population Health Sciences
Margolis Core Faculty
Rebecca Whitaker, PhD, MSPH
Research Director, North Carolina Health Care Transformation
Core Faculty Member
Senior Team Member
Charlene Wong, MD, MSHP
Assistant Professor of Pediatrics
Margolis Core Faculty
James Zheng
2020 Margolis Intern
2021 Margolis Intern
Events About Federal Health Care Transformation
More EventsEvent 11/18/2025
Are We There Yet? Building the Roadmap for Home-Based Primary Care
Webinar Objectives - Analyze the current state and impact of home-based primary care (HBPC) in…
Read MoreEvent 5/19/2025
New Directions for Accountable Care: Understanding Opportunities Within CMMI’s Updated Strategy
Duke-Margolis, in partnership with West Health, will host a webinar to discuss the major head and…
Read MoreEvent 5/13/2025
2025 Health Policy Conference: Evolving Better Health Care for Every American
WASHINGTON, DC
Join us for the 2025 Duke-Margolis Health Policy Conference. We will bring together leading policy…
Read MoreEvent 3/19/2025
The Future of Accountable Care: Potential Paths to Making "Alternative" Payment Models the Norm
Five years after the Centers for Medicare & Medicaid Services set their ambitious 2030 accountable…
Read MorePublications About Federal Health Care Transformation
More PublicationsBlog Entry
Medicare Can Leverage Home-Based Care To Optimize Value For Homebound Beneficiaries
Montgomery Smith, Frank McStay
Montgomery Smith, Frank McStay
Health Affairs, 2025
Read MoreComment Letter
Comment Letter on CMS Updates to Medicare Physician Fee Schedule
Nitzan Arad, Alida Austin, Wenbo Bai, Beena Bhuiyan Khan, Rachel Bonesteel, Sara Debab, Audrey Ford, Katie Huber, Frank McStay, Mark McClellan, Inga Morken, Samantha Repka, Montgomery Smith, Christina Silcox, Sabina Sussman
Nitzan Arad, Alida Austin, Wenbo Bai, Beena Bhuiyan Khan, Rachel Bonesteel, Sara Debab, Audrey Ford, Katie Huber, Frank McStay, Mark McClellan, Inga Morken, Samantha Repka, Montgomery Smith, Christina Silcox, Sabina Sussman
2025
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Comment Letter on CMS Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Proposed Rule, FY 2026
Wenbo Bai, Katie Huber, Inga Morken, Mark McClellan, & Frank McStay
Wenbo Bai, Katie Huber, Inga Morken, Mark McClellan, & Frank McStay
2025
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Comment Letter on Medicare Program; Request for Information on Medicare Advantage Data (CMS-4207-NC)
Rachel Bonesteel, Montgomery Smith, Mark Japinga, Frank McStay, Rob Saunders
Rachel Bonesteel, Montgomery Smith, Mark Japinga, Frank McStay, Rob Saunders
2024
Read MoreNews About Federal Health Care Transformation
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Press Release December 3, 2025
December 14, 2021
Duke-Margolis Postdoctoral Program in Health Policy
Educating the next-generation of health policy professionals comes at critical juncture with the US managing a global pandemic, improving clinical trial and real-world evidence development, and growing demands for a flexible regulatory apparatus that works to continue advancing innovative medical...
Educating the next-generation of health policy professionals comes at critical juncture with the US...
Read MorePress Release June 4, 2019
Press Release: Building Better Seriously Ill Care Teams
DURHAM, NC – An estimated 40 million Americans are older people with serious illness and nearly one-third report report have duplicative tests and one-quarter receive conflicting medical recommendations. Better, more effective health care teams could resolve these issues and improve care for...
DURHAM, NC – An estimated 40 million Americans are older people with serious illness and nearly...
Read MoreTopics Related to Federal Health Care Transformation
More Topics
Trending Topic
Risk Adjustment
Topic Overview In collaboration with West Health, the Duke-Margolis Institute for Health Policy…
Trending Topic
21st Century Public Health and Population Health
Duke-Margolis is developing a major, cross-cutting initiative to address—and inform—the future of…