Governance, methods, and advisory activation.
Publication cadence, health economics modeling, methods memo, and policy briefing.
March 2026 to February 2031
The first 18-24 months establish governance, publish payer-ready tools, convene decision-makers, and generate early adoption signals.
First 24 months
Publication cadence, health economics modeling, methods memo, and policy briefing.
OUD health economics analysis, payer working sessions, State Playbook, and roundtable outputs.
Payer Kit v2, a national policy summit, and a published work package for reuse.
Fixed update cadence, replicated playbooks, and guardrailed technical assistance.
| Plan year | Core focus | Representative outputs |
|---|---|---|
| Year 1 | Institutional launch; CMS/Medicaid-first foundation. | Health economics framework v1, reimbursement roadmap v1, annual report v1, convening cadence. |
| Year 2 | Convert tools into stakeholder adoption. | Flagship summit, Medicaid scenario models, coverage criteria scaffolds, annual report v2. |
| Year 3 | Replication and standardization. | Updated models, state replication playbooks, commercial payer briefings, adoption signals. |
| Year 4 | Institutionalization and sustainability shift. | Routinized summit/workgroups, fixed update cadence, guardrailed education offerings. |
| Year 5 | Durable platform. | Stable institute operations, updated reports/models, convenings, and technical assistance. |
Adoption means use
Incorporation into actuarial memos, benefit design sessions, budget impact discussions, and coverage criteria drafts.
Use in Medicaid readiness planning, RFI/RFP language, state policy scaffolds, and successive evidence updates.
Repeat engagement, shared terminology, safer implementation expectations, and reusable public-good artifacts.
Five-year frame