Duke-Robert J. Margolis, MD, Institute for Health Policy

12/11/2025

Our last event of 2025 is just a few days away—don't miss your chance to register! Join us next Tuesday, December 16, in our DC office as speakers explore ways to improve access to epinephrine and reduce anaphylaxis-related morbidity and mortality. To learn more about the speakers and topics of discussion, and register to attend, visit the event webpage here: https://duke.is/y/x7xs

12/09/2025

Core Faculty member Matt Maciejewski has co-authored a JAMA Viewpoint article that discussed how real-world evidence studies can be best used to inform Medicare drug price negotiations. Read the authors' guidance here: https://duke.is/n/7r2w

This Viewpoint discusses how real-world evidence studies could help the US Centers for Medicare & Medicaid Services align spending with value in their drug price negotiations.

12/03/2025

Institute Director Mark McClellan and Research Director Christina Silcox have released a statement on the new Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model from the Centers for Medicare & Medicaid Services. This 10-year voluntary model aims to improve the health of people with chronic disease and covered by Traditional Medicare, through technology-supported care.

“Medicare’s new ACCESS model represents a key step forward in turning new digital and AI capabilities into potentially transformational patient benefits, in terms of access, quality, affordability, and empowerment. While ACCESS focuses on people covered by Traditional Medicare, the infrastructure and learnings from this new model also could facilitate much broader expansion across our health care system. We commend the CMS team for their thoughtful and timely policy work to connect technological possibilities to paying for what Americans really want—improved access, better outcomes, and lower costs. At Duke-Margolis, we look forward to helping patients, clinicians, health care organizations, and policymakers realize these urgently needed benefits.”

11/24/2025

Communications for Climate and Sustainability co-authored an article that summarized the recent Duke Climate Collaboration Symposium focused on health reform and climate change. A campus-wide event co-hosted by Duke-Margolis and the Duke University School of Medicine, the event convened leaders across disciplines to explore how the health care landscapes can adapt and lead in the face of a changing climate. Read the article here: https://duke.is/w/yu9h

Health and climate are deeply intertwined. Both are central to families, communities, and economies. Yet, both are under pressure.

11/21/2025

Policy Research Assistant Montgomery Smith and Assistant Research Director Frank McStay co-authored a paper in the Journal of the American Medical Directors Association that studied stakeholder feedback on the potential development of a home-based primary care practice recognition program: https://duke.is/n/tvd2

Home-based primary care (HBPC), which provides longitudinal interdisciplinary primary care to functionally impaired patients at home, rather than in traditional ambulatory clinics, improves patient outcomes, but remains relatively invisible to key stakeholders and has not scaled. Practice recognitio...

11/18/2025

Don't miss out! Join us this Thursday for our hybrid workshop, "Individualized Therapies on the RISE." In this second installment of the U.S. Food and Drug Administration's Rare Disease Innovation, Science, and Exploration (RISE) workshop series, speakers will explore the emerging science and regulatory environment for individualized medicine programs. Registration closes soon: https://duke.is/m/jxxj

11/14/2025

Mark McClellan discussed how health care leaders can build a more sustainable future during the 2025 Health Evolution Summit. Learn more about Mark's and his fellow speakers' thoughts in the Summit recap: https://duke.is/m/zntv

As Health Evolution's unparalleled community of executives gathered for the 15th Summit, they focused on the changes leaders must make now to build a tech-enabled health care system that’s more proactive, sustainable, and trustworthy by 2040. Leaders reflected on lessons learned, shared strategies...

11/13/2025

Our next event is days away! Home-based primary care (HBPC) offers an essential lifeline for homebound Medicare beneficiaries, improving outcomes and patient experience while reducing avoidable hospitalizations. Join us on November 18 for a webinar that will explore how to build a sustainable, value-driven roadmap for HBPC within Medicare.

Registration closes soon, so don't forget to secure your spot in the conversation: https://duke.is/9/ct26

11/10/2025

Duke-Margolis researchers Katie Huber, Brianna Van Stekelenburg, Alida Austin, and Rebecca Whitaker, and former intern Rebecca Stern, co-authored a paper in the North Carolina Medical Journal to discuss the history of bipartisan support for NC Medicaid, highlight examples of lessons learned and impacts, and offer key considerations for the path forward. Read more here: https://duke.is/r/gge5

11/06/2025

With the homebound population growing, how do we build the roadmap for better home-based primary care? A draft agenda is now available for our upcoming webinar, where speakers will explore solutions to this question. Join us on November 18 for this important conversation: https://duke.is/9/ct26

11/05/2025

Hear from Assistant Research Director Frank McStay next week at the Primary Care Collaborative's 2025 Evidence Report release! On November 12, Frank and his fellow speakers will examine the state of rural primary care as residents of rural communities face new barriers to health coverage. Learn more and register here: https://thepcc.pub/Closing-The-Distance

11/05/2025

In this new Health Affairs Forefront article, Duke-Margolis researchers Val Lehman, Kylie Brown, Wenbo Bai, and Mark McClellan explore opportunities to advance rapid learning for accountable care. In particular, they highlight the potential of collaborative action through efforts like the new West Health Accelerator at Duke-Margolis. Read more here: https://duke.is/r/w5uz

With accountable care more widespread than ever, the potential benefits of rapid learning collaboratives for accountable care have never been greater, both to improve outcomes and performance and to increase the confidence of organizations to participate.