Policy Matters: A monthly newsletter for Duke Faculty and Staff from the
Duke-Margolis Center for Health Policy
Policy Matters: March 2018
Special Event with NEJM Catalyst
Duke GHIC Wins Two New Awards Totaling over $13 Million to Enhance Global Efforts to Save Lives At Birth
Several Duke University organizations, led by the Duke Global Health Innovation Center (GHIC), are partnering with the US Agency for International Development (USAID) and other global development organizations to evaluate the Saving Lives at Birth program and help organizations scale up maternal and newborn health innovations more quickly and sustainably.

Saving Lives at Birth: A Grand Challenge for Development seeks groundbreaking prevention and treatment approaches for pregnant women and newborns in poor, hard-to-reach communities around the time of delivery. The effort is funded by a partnership of international development organizations including USAID, the Government of Norway (Norad), the Bill & Melinda Gates Foundation, Grand Challenges Canada (funded by the Government of Canada), the U.K.’s Department for International Development (DFID) and the Korea International Cooperation Agency (KOICA).

The Duke Global Health Innovation Center, the Duke Global Health Institute’s Evidence Lab and the Duke Center for International Development will receive up to $2.8 million over five years to evaluate the impact of the Saving Lives at Birth program and innovations, including their health and economic impact. They will also analyze the program and its portfolio in real time over the course of the next three to five years. This program will be co-led by Krishna Udayakumar, MD, MBA, director of the GHIC, and Joy Noel Baumgartner, PhD, director of the DGHI Evidence Lab. Read More
News
Former CMS Chiefs Debate Drug Prices: Slavitt, McClellan square off
Duke-Margolis Director Mark McClellan and former CMS Director Andy Slavitt debated policy solutions at the Healthcare Costs Innovation Summit. Read more in MedPage Today.
This new effort aims to scale up maternal and newborn health innovations
Electronic Health Records Don't Reduce Administrative Costs
The federal government thought that the adoption of certified electronic health record systems (EHR) would help reduce administrative costs for physicians in a variety of specialties. However, a major new study conducted by researchers at Duke University and Harvard Business School and published in the Feb. 20, 2018, issue of the  Journal of the American Medical Association finds that this benefit has not been achieved. Read More.
Principles for a Framework for Alternative Payment Models
The way physicians, hospitals, and other health care professionals are paid influences patient care because payment methods affect business models that clinicians and health care facilities use to prioritize investments, establish infrastructure, and design care processes. Fee-for-service medicine and its volume-based financial incentives can lead to overuse of low-value services and suboptimal care. A consensus is emerging among patients, health care professionals, payers, and purchasers that transitioning to alternative payment models (APMs) that better incentivize value for patients is essential for improving the quality and affordability of health care. Read more in a Viewpoint co-authored by Mark McClellan, MD, PhD, in the February 20 issue of JAMA.
Medicare Shared Savings Program: Outcomes from the First Four Years
In two original articles published in the American Journal of Accountable Care, the Duke-Margolis Center for Health Policy and Leavitt Partners examine quality improvements and cost savings in the first four years of the Medicare Shared Savings Program (MSSP), and suggest opportunities for system-wide improvement. Read More.
Analysis: Are We on Track to Achieve SDG Goals for Maternal and Child Health?
Seventy-nine countries are off track to meet ambitious global health targets for maternal and child health, according to an analysis by researchers from the Brookings Institution and the Duke Global Health Institute (DGHI). If those countries were to recover and accelerate their progress according to the targets, the authors note, 11.8 million lives—1.6 million mothers and 10.2 million children—could be saved.
To arrive at these numbers, John McArthur and Krista Rasmussen of the Brookings Institution and Gavin Yamey of DGHI examined trends in child and maternal mortality and extrapolated them forward to 2030.
New Report Examines Factors Used in Social Security’s Process for Determining Disability in Adults
A new report from the National Academies of Sciences, Engineering, and Medicine examines to what extent and in which ways health care utilization -- such as in-patient hospitalizations, emergency department use, and hospital readmission -- reflects disease severity, disability, and ability to perform gainful activity. The committee that conducted the study was unable to find an association between health care utilization and disease severity as it relates to the Social Security Administration’s (SSA) determination of severe impairment -- an impairment or combination of impairments severe enough to prevent a person from performing any gainful activity regardless of age, education, or work experience. Donald H. Taylor, Jr, PhD, served on the study panel.
Events
Margolis Seminar
The Margolis Seminar, held from noon-1:30 pm every other Friday, is a venue for sharing work in process and expertise across Duke University and with the Duke-Margolis team in Washington, DC. If you are interested in being added to the mailing list, please contact Hilary Campbell.
Tuesday, April 3, 2018, 12 p.m. to 5 p.m.
Great Hall, Trent Semans Center for Health Education
Opening Remarks by Chancellor for Health Affairs Eugene Washington

This symposium aims to coalesce the Duke University community around a shared vision of improving health through innovative research and advanced care.
Faculty, staff and students from the School of Medicine, School of Nursing, Health System, and Campus are invited to attend.

March 19, 2018 - 9:00 am to 5:00 pm
Doubletree Hilton Silver Spring, 8727 Colesville Road, Silver Spring, MD 20910

April 16, 2018 - 8:30 am to 5:00 pm
National Press Club, 529 14th Street NW, Washington, D.C. 20045

Duke Population Health Sciences Summer Institute
June 4-6, 2018
The DPHS Summer Institute at Duke University is a unique opportunity to gain foundational knowledge and applied skills in population health research while learning from leading experts in this growing field.
Who It’s For
The Summer Institute is open to anyone looking for an introduction to the population health sciences field.
  • Health care and health services research industry professionals
  • Academics at Duke and other institutions
  • Undergraduate and graduate students
Awards, Honors and Presentations
Greg Daniel, PhD, MPH, is an invited panelist at the upcoming American College of Medical Quality meeting and an invited speaker at the World Orphan Drug Conference USA.

Allison Rice (Law) has been honored by the American Bar Association for sustained excellence in advocacy and representation of HIV and AIDS-affected clients. Read More.

$6 billion allotted to fight opioid epidemic — here's how we should spend it
Read more from Duke-Margolis Visiting Fellow, Regina Labelle, JD, in the Hill.
Submissions Welcome!
Interesting Project? Funding Opportunities? News and Events? Awards and Honors? 
Policy Impact? Op Eds? 
We're looking for ways to highlight your accomplishments and share information.
Email submissions to dukemargolis@duke.edu.