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BUILT FOR IMPACT

The Duke-Margolis
& West Health
Partnership

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About the Partnership

The Duke-Margolis & West Health partnership started in 2018 with a simple goal: identifying new pathways for developing and implementing accountable care models that deliver better care at lower costs to more Americans. The partnership initially focused on developing high-level policy roadmaps and analyses to inform CMS and CMMI strategy. The work quickly evolved to tackle deeper, system-level challenges like flawed risk adjustment formulas, insufficient specialty care models, and weak mechanisms for broad accountable care adoption and long-term sustainability.

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The Future of Accountable Care

Today, the movement toward greater accountable care adoption is at a critical juncture. There is continued bipartisan support and industry commitment, some models showing cost savings and quality improvements, and significant untapped potential to harness intelligent care — or technology and data — to deliver more efficient and effective personalized care. However, despite these factors, accountable care adoption has stagnated after a decade of progress and learning. There is not yet an aligned approach to accountable care across the public and private sectors, and fee-for-service reimbursement remains the norm. Moreover, organizations are struggling to make the necessary investments needed to develop new infrastructure, care pathways, and other support needed for success.

Duke-Margolis’ deep technical policy expertise and credibility across sectors, and West Health’s agility, responsiveness, and network spanning clinical and policy expertise make for a partnership uniquely suited to energize and accelerate the move to accountable care.  The West Health Accelerator at Duke-Margolis will be the catalyst for this effort. Built on a years-long foundation of deep policy work and insight generation, the Accelerator is designed to strengthen the infrastructure, evidence, and stakeholder coalitions needed for accountable care models to deliver on their goals move into the future. 

The Duke-Margolis Institute for Health Policy was established in January 2016 with a $16.5 million gift from Duke medical school alumnus Robert J. Margolis and his wife Lisa, through the Robert and Lisa Margolis Family Foundation. Duke-Margolis, elevated by Duke University to an Institute in January 2024, catalyzes Duke University's leading capabilities, including interdisciplinary academic research and capacity for education and engagement, to inform policy making and implement evidence-based strategies for better health and health care. 

Led by Mark McClellan, Duke-Margolis partners with funders and experts in health care policy and practice from around the world and is advised by a board of health care leaders representing academia, patients, policy research, and payers and providers The institute has offices and staff on Duke University’s camps in Durham, NC, and the Duke in DC offices in the heart of the nation's capitol. 

West Health is a family of nonprofit, nonpartisan organizations dedicated to successful aging and lowering the cost of healthcare in America. Founded by visionary philanthropists Gary and Mary West, West Health includes the Gary and Mary West Foundation and West Health Institute in San Diego, CA, and the West Health Policy Center in Washington, DC. Together, these value-based care organizations are driven by an innovative, entrepreneurial spirit and a shared commitment to making aging in America more affordable and accessible for all. 

 

For nearly two decades, West Health has been advancing innovative programs, practices, and policies that empower older adults to age in place with access to high-quality, affordable health and support services. To date, West Health has invested and helped shape more than $600 million in initiatives to lower healthcare costs and improve the quality of life for seniors across the country. Learn more at westhealth.org

Our Project Leaders

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Namrata Kaur Uberoi, PhD, MPH 

Namrata Uberoi is the Director of Health Policy at the West Health Policy Center, where she leads initiatives focused on advancing accountable care and evidence-based policy solutions to improve health care affordability, access, and outcomes for older adults. Her work centers on developing and promoting policies that strengthen value-based and population health models to drive system-wide transformation toward high-quality, cost-effective care. Prior to joining West Health, Dr. Uberoi was a Senior Manager and Health Economist at RTI International, where she led teams supporting the Centers for Medicare & Medicaid Services (CMS) in designing, implementing, and evaluating value-based care payment models that promote accountability for cost and quality. She also managed projects for the Patient-Centered Outcomes Research Institute (PCORI) focused on the generation and translation of evidence to inform care delivery and policy. Dr. Uberoi brings extensive experience from across the federal health policy landscape, having served in research and analytic roles at the Congressional Research Service (CRS), the Office of the Assistant Secretary for Planning and Evaluation (ASPE), the Agency for Healthcare Research and Quality (AHRQ), and the Centers for Disease Control and Prevention (CDC). Her work has consistently focused on leveraging data and policy design to align incentives for better care, better health, and lower costs. She holds a PhD in Health Economics from The Pennsylvania State University and an MPH in Public Health Management and Policy from the University of Florida.

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Amy Stuck, PhD, RN 

Amy Stuck is Senior Director for Value-Based Care at the West Health Institute, where she leads initiatives to redesign care delivery and use data-driven improvement to design care better matched to individuals’ needs and lowering health care costs for older adults. With more than 40 years of experience in acute and critical care nursing, hospital leadership, and process improvement, Amy brings deep expertise in value-based care and systems transformation. Her work centers on advancing care and payment models that strengthen home and community-based care, improving access, affordability, and outcomes for older adults. Dr. Stuck is the Institute’s leader for the West Health Accelerator at Duke-Margolis and a key representative for the Accountable Care Learning Hub, as well as for the work in the Brain Health focus area. Amy earned her Bachelor of Science in Nursing from the University of Portland, her master’s degree in nursing education from California State University, Dominguez Hills, and a PhD in Nursing from the University of San Diego. She completed post-doctoral studies in the Department of Emergency Medicine at the University of California, San Diego.

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Marianne Hamilton Lopez, PhD, MPA 

Dr. Marianne Hamilton Lopez is the Senior Research Director of Biomedical Innovation, an adjunct associate professor, and core faculty at the Duke-Margolis Institute for Health Policy in Washington, D.C. She leads the strategic design and direction of the Institute’s Biomedical Innovation portfolio, with a focus on medical products development and regulation, real world evidence, infectious disease preparedness, and payment, pricing, and coverage of drugs and medical devices. She also oversees the Value for Medical Products Consortium and partners with Duke University faculty, scholars, and external health experts to advance this work. Prior to joining Duke-Margolis, Dr. Hamilton Lopez was a senior program officer with the National Academy of Medicine’s Leadership Consortium for a Value & Science-Driven Health System and provided strategic direction and oversight of the Consortium’s Science and Technology portfolio and Clinical Effectiveness Research Innovation and the Digital Learning Collaboratives. She was a Senior Manager at AcademyHealth; a Public Health Community Advisor for the United States Cochrane Center; and the Federal Women’s Program Manager and American Indian/Alaska Native Employment Program Manager for the National Institutes of Health.

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