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
Suzanne C. Brundage

Suzanne C. Brundage is a public health and health care strategist committed to creating the conditions in which children and families thrive. She is the director of UHF’s Children’s Health Initiative, which was established to strengthen health care’s focus on health disparities rooted in childhood. 

Through a dual focus on service delivery and policy, Suzanne has worked on a range of issues including social determinants of health and education; primary care; Medicaid; and substance use disorders. She is a trusted collaborator, thought partner, and consensus builder for many organizations and individuals nationwide focused on strengthening systems for families. She was named the first Patricia S. Levinson Fellow at UHF for her work to improve health care for vulnerable populations. 

Before working at UHF, Suzanne was the assistant director of the Global Health Policy Center at the Center for Strategic and International Studies in Washington, D.C. She has worked with a wide range of health nonprofits and safety net institutions, including Healing Through Remembering in Northern Ireland, Catholic AIDS Action in Namibia, Nationwide Children’s Hospital in Ohio, 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 in conflict resolution and international affairs and an MS in health policy and management 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, overseeing work across the coverage and access, quality and efficiency, and clinical-community partnerships focus areas, as well as UHF conferences and grantmaking. Previously, Mr. Shearer was at the Princeton School of Public & International Affairs, 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.