Value-based payment arrangements are an important tool that New York’s Medicaid program is using to improve health outcomes for its beneficiaries. But measuring value in terms of care for adults is not the same as measuring the value of care for children. A different yardstick is necessary.

Since early 2016, United Hospital Fund has been encouraging the development of a new child-specific component of New York’s Medicaid value-based payment efforts. We’ve produced several publications describing value-based payment models for Medicaid child health services. And we guided a State workgroup charged with designing a new value-based payment model for children in Medicaid, which led to the adoption of new quality measures and consideration of a new pediatric model.

We’re continuing to work with the State on how best to implement the workgroup’s recommendations—and, through a partnership with ChangeLab Solutions, we are sharing our experience in designing value-based payment models for children with other states.

"The emphasis in value-based payment on tying quality performance to payment is an opportunity to deliver higher-quality, evidence-based care to young people. Designed well, value-based payment could be an opportunity to intervene early and prevent many child health–especially behavioral disorders–from emerging."
Chad Shearer
Vice President, Policy
The Children's Health Initiative Team
Suzanne C. Brundage

Suzanne Brundage is director of the Children’s Health Initiative at United Hospital Fund, an independent nonprofit focused on improving health care for New Yorkers. The Children’s Health Initiative focuses on informing public policy and advancing new delivery system models that strengthen pediatric primary care, including how health care partners with other sectors to improve child health and well-being. She was named the first Patricia S. Levinson Fellow in 2017 and 2018 at UHF for her work to improve health care for vulnerable populations.  

Prior to working at United Hospital Fund, Suzanne was the assistant director of the Global Health Policy Center at the Center for Strategic and International Studies (CSIS) in Washington, DC. She has also worked with Catholic AIDS Action in Namibia, Nationwide Children’s Hospital, and Boston Medical Center. Suzanne is a member of the Bennington College Board of Trustees and the national Children’s Health Leadership Network. In 2018 she was named to City & State New York's "40 Under 40" list and Crain's New York's list of 100 notable women in health care. 

She holds a BA from Bennington College and an MS degree from the Harvard T.H. Chan School of Public Health.

Chad Shearer is the Senior Vice President for Policy and Program at United Hospital Fund, supervising work in the Medicaid Institute and in UHF’s Innovations, Health Insurance, and Children’s Health programs. Previously, Mr. Shearer was at the Woodrow Wilson School of Public & International Affairs at Princeton University, where he served as deputy director of the Robert Wood Johnson Foundation’s State Health Reform Assistance Network, a project coordinating technical assistance to 11 states on the implementation of the Affordable Care Act’s coverage expansion provisions. He was also a lecturer in public affairs at the university, teaching a capstone policy workshop.

Mr. Shearer also was senior program officer at the Center for Health Care Strategies, where he helped shape its Medicaid Leadership Institute, an intensive training program for selected state Medicaid directors. Before that, he served as legislative director for Congressman Pete Stark, who was Chairman of the Ways and Means Subcommittee on Health, in the United States House of Representatives.

Mr. Shearer holds both a law degree and a master’s of health administration from the University of Iowa.