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11 16, 2017

Sixteen organizations dedicated to advancing the health of children shared their responses to a March 2017 Request for Information from the Center for Medicare and Medicaid Innovation on developing alternative payment models for pediatrics. The authors of this commentary identified eight common themes from these responses, pointing to the need for much greater attention to defining value in terms of long-term healthy development for children. Doing so requires a fundamentally different approach than employed by current alternative payment models, developed largely with adults and chronic care and high cost populations in mind. In particular, contractors (including Medicaid) need to support increased investments in primary care and to develop metrics for assessing impact that go beyond immediate medical conditions and costs. Such an approach is consistent with the concept of “value-based care” and offers one of the most powerful opportunities to achieve the triple aim of improved health quality, improved population health, and reduced per capita health care costs. Click here to read the report online.