Duke-Margolis Institute for Health Policy
dukemargolis.bsky.social
Duke-Margolis Institute for Health Policy
@dukemargolis.bsky.social
The Institute's Mission is to improve health, health equity, and the value of health care through practical, innovative, and evidence-based policy solutions.
Congratulations to our real-world evidence team! Last week, Duke-Margolis researchers presented posters at the Duke Precision Genomics Collaboratory Scientific Retreat. One poster won a best poster award and research grant! Read the paper from the winning poster here: duke.is/5/ygcs
December 16, 2025 at 8:00 PM
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. Learn more and register here: duke.is/y/x7xs
December 11, 2025 at 3:00 PM
Reposted by Duke-Margolis Institute for Health Policy
How can Medicaid agencies continue to make progress on community health and well-being in today’s policy environment? A new issue brief drawing on community-based research published with @dukemargolis.bsky.social identifies 6 strategies.
Policy Strategies for State Medicaid Agencies to Advance Community Health and Well-Being   | Milbank Memorial Fund
Copublished with the Duke-Margolis Institute for Health Policy Abstract  Recent federal policy reforms and funding reductions pose significant
www.milbank.org
December 9, 2025 at 3:58 PM
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: duke.is/n/7r2w
Real-World Evidence for Medicare Drug Price Negotiations
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.
jamanetwork.com
December 9, 2025 at 7:05 PM
Institute Director Mark McClellan and 11 other former U.S. Food and Drug Administration Commissioners express their concern for recently announced changes in the FDA’s regulatory model for vaccines in a new article published by the New England Journal of Medicine. Read more here: duke.is/w/7bqt
A Threat to Evidence-Based Vaccine Policy and Public Health Security at the FDA | NEJM
Twelve former commissioners of the FDA express concern that the agency’s recent moves will undermine a regulatory model designed to ensure vaccine safety, effectiveness, and availability.
duke.is
December 4, 2025 at 3:00 PM
Institute Director Mark McClellan and Research Director Christina Silcox have released a statement on the new CMS ACCESS Model, which aims to improve the health of people with chronic disease and covered by Traditional Medicare, through technology-supported care. Read our statement: duke.is/j/tqrq
December 3, 2025 at 7:00 PM
A summary of the recent Duke Climate Collaboration Symposium focused has been published! Co-hosted by Duke-Margolis & the 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: duke.is/w/yu9h
November 24, 2025 at 7:54 PM
Duke-Margolis researchers Montgomery Smith and 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: duke.is/n/tvd2
Stakeholder Perspectives on Development of a Home-Based Primary Care Practice Recognition Program
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 recognition programs are formal processes that evaluate and formally acknowledge a health care practice for achieving specific standards and have been developed for various fields. The aim of this study was to assess key stakeholder views on the potential benefits and challenges, unintended consequences of implementation, and potential core components of an HBPC practice recognition program.
www.jamda.com
November 21, 2025 at 7:25 PM
Join us this Thursday for our hybrid workshop, "Individualized Therapies on the RISE." In this second installment of the FDA's RISE workshop series, speakers will explore the emerging science and regulatory environment for individualized medicine programs. Registration closes soon: duke.is/m/jxxj
November 18, 2025 at 2:49 PM
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: duke.is/m/zntv
How Health Care Leaders Can Build a More Proactive, Sustainable, and Trustworthy Future
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 for navigating uncertainties, and engaged in bold, progress-focused conversations led by distinguished experts.
www.healthevolution.com
November 14, 2025 at 7:50 PM
Our next event is days away! 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: duke.is/9/ct26
November 13, 2025 at 8:23 PM
Duke-Margolis researchers have 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: duke.is/r/gge5
November 10, 2025 at 3:00 PM
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: duke.is/9/ct26
November 6, 2025 at 2:37 PM
Hear from Assistant Research Director Frank McStay next week at the PCC's 2025 Evidence Report release! On 11/12, Frank and his fellow speakers will examine the state of rural primary care as residents of rural communities face new barriers to health coverage: thepcc.pub/Closing-The-Distance
November 5, 2025 at 7:00 PM
In this new Health Affairs Forefront article, Duke-Margolis researchers 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: duke.is/r/w5uz
Rapid Learning For Accountable Care Adoption | Health Affairs Forefront
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.
www.healthaffairs.org
November 5, 2025 at 2:32 PM
Duke-Margolis has published an event report for "On the RISE: Controls in Rare Disease Clinical Trials for Small and Diminishing Populations" that summarizes the discussion that took place, offers key takeaways, and outlines next steps. You can read it here: duke.is/z/mkv3
November 4, 2025 at 2:52 PM
Don't miss your chance to join this conversation! Tomorrow, we are gathering health policy experts and leaders across the public and private sectors to discuss the vision for accountable care reform, and chart a path toward delivering better health and better care for all: duke.is/p/3vx6
October 28, 2025 at 2:00 PM
Drug shortages have severely impacted patient care in the U.S. for decades. In our latest white paper, Duke-Margolis researchers propose next steps that Congress can take to address the root causes of the drug shortage problem + create a more reliable & resilient supply chain: duke.is/6/mduj
Addressing the Root Causes of Drug Shortages: Next Steps for Congress
healthpolicy.duke.edu
October 27, 2025 at 6:00 PM
Institute Director Mark McClellan and Policy Analyst Sara Debab have co-authored a new Viewpoint article in JAMA Health Forum to outline steps that reduce clinician burnout by modernizing Medicare’s risk adjustment mechanism. Read their recommendations here: duke.is/w/tdna
October 24, 2025 at 7:13 PM
A new event has been announced! Don't miss this webinar coming up on November 18, where speakers will explore opportunities to advance home-based primary care. Learn more and register here: duke.is/9/ct26
October 23, 2025 at 6:00 PM
Reposted by Duke-Margolis Institute for Health Policy
@michellescotton.bsky.social @dukemargolis.bsky.social sharing our engagement project learnings with researchers and patient advocates at #PCORI25
October 21, 2025 at 11:01 PM
Learn more about the current state and future of the Sentinel Initiative in our upcoming workshop, convened with the FDA. A draft agenda is now available and contains more details about the topics of discussion—you can read it and register to attend here: duke.is/z/wdhk
October 22, 2025 at 3:00 PM
A draft agenda is now available for our upcoming workshop, "Individualized Therapies on the RISE"! Co-convened with the FDA, this event will explore the regulatory considerations surrounding individualized therapies that can help treat rare diseases. Read the agenda + register here: duke.is/m/jxxj
October 21, 2025 at 7:55 PM
Our next event is just around the corner! We invite you to join us in DC for a timely conversation on accountable care reform. With new technological advances, policy shifts, and the lessons learned from the last decade, the next chapter of accountable care starts now: duke.is/p/3vx6
October 17, 2025 at 6:00 PM
A new hybrid workshop has been announced! Join us at the Duke in DC office on December 16 as speakers discuss ways to expand epinephrine accessibility and use, including in community settings, to reduce anaphylaxis-related morbidity and mortality. Learn more and register here: duke.is/y/x7xs
October 15, 2025 at 7:00 PM