Overview
I serve as the Executive Director of the North Carolina Integrated Care for Kids (NC InCK) model. NC InCK is a CMS-funded pilot to develop and implement a local integrated service delivery and payment model for Medicaid/CHIP insured children (birth up to age 21). Duke, UNC, and the North Carolina Medicaid agency are partnering to lead this effort with up to $16 million of funding to build capacity and infrastructure. All Medicaid & CHIP insured children in a 5 county area (~100,000 children in Orange, Alamance, Durham, Granville, Vance) are included in the model.
In addition to NC InCK, my research and policy portfolio focuses on healthcare transformation and health-related behavior change, leveraging principles from behavioral economics and employing person-centered research and policy practices. Most of my healthcare transformation projects relate to informing the transition to value-based care. My research is based out of the Department of Pediatrics, the Duke Clinical Research Institute, and the Duke-Margolis Center for Health Policy. I direct health behaviors and needs research in the Duke Children's Health & Discovery Initiative and am the Associate Program Director for the National Clinical Scholars Program at Duke. I am also a faculty member in the Duke Center for Childhood Obesity Research.
Outside of work, I enjoy spending time in the outdoors with my husband and two children.
Current Appointments & Affiliations
Recent Publications
Adolescent and Young Adult Perspectives on Quality and Value in Health Care.
Journal Article Acad Pediatr · 2023 OBJECTIVE: To describe adolescent and young adult (AYA) perspectives on defining quality and value in health care and to gain understanding of their knowledge of value-based payment. METHODS: A text message-based survey was sent to a convenience sample of ... Full text Link to item CiteThe Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Young Adults.
Journal Article J Adolesc Health · August 2020 PURPOSE: Guidelines recommend 150 minutes of weekly moderate-to-vigorous physical activity (MVPA) for all adults, although physical activity level correlation with cardiometabolic health is not well characterized for young adults. We determined the dose-re ... Full text Link to item CiteDigital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges.
Journal Article J Adolesc Health · August 2020 The lives of adolescents and young adults (AYAs) have become increasingly intertwined with technology. In this scoping review, studies about digital health tools are summarized in relation to five key affordances-social, cognitive, identity, emotional, and ... Full text Link to item CiteRecent Grants
North STAR Trial: Specialty Telemedicine Access for Referrals in Rural Alaska
ResearchCo Investigator · Awarded by National Institutes of Health · 2021 - 2022Characterizing Health Disparities in the Shift to North Carolina Medicaid Managed Care
ResearchPrincipal Investigator · Awarded by Kate B. Reynolds Charitable Trust · 2020 - 2021Financial and Social Behavioral Economic Incentives to Increase Physical Activity in Adolescents and Young Adults for Cardiovascular Health
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2018 - 2019View All Grants