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 VBP Team

Lee, who joined UHF in 2016, provides research and policy analysis support to projects focusing on children and families.

Before UHF Lee was Medicaid Director of the District of Columbia; health policy advisor for the National Partnership for Women and Families; staff director of the National Association of State Medicaid Directors; staff director of the Committee on Human Resources, D.C. City Council; and a member of the personal staff of U.S. Senator Jacob K. Javits. She has served on committees of the National Quality Forum, the National Committee for Quality Assurance, and the American Academy of Pediatrics.  She was the first public member of the Council of Medical Specialty Societies.

Lee holds a Bachelor of Arts from Wellesley College.

Chad Shearer is UHF’s senior vice president for policy and program, overseeing UHF’s work across the coverage and access, quality and efficiency, and clinical-community partnerships focus areas, as well as UHF conferences and grantmaking. 

Before joining UHF in 2014, Chad was at the Princeton School of Public & International Affairs, where he was 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 Princeton, teaching a capstone policy workshop. Chad has served as a 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. He was served as the legislative director for Congressman Pete Stark, Chairman of the Ways and Means Subcommittee on Health in the U.S. House of Representatives.

Chad holds both a law degree and a Master of Health Administration from the University of Iowa.