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

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.