Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Exploring the Implementation of Medicaid Alternative Payment Models and Evidence Based Practices in Federally Qualified Health Centers to Improve Diabetes Health Outcomes

Award Number: K01DK147658
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 07/01/2026
PERIOD OF PERFORMANCE END DATE: 03/31/2029

Group Awards By:

View Award Description

Exploring the Implementation of Medicaid Alternative Payment Models and Evidence Based Practices in Federally Qualified Health Centers to Improve Diabetes Health Outcomes - Project Summary Diabetes mellitus (DM) is a leading cause of morbidity in the United States, costing over $400 billion annually and disproportionately affecting individuals in rural and low-income communities. Federally Qualified Health Centers (FQHCs) serve over 30 million patients each year, including 10% of all individuals with DM in the US, and primarily operate in Health Professional Shortage Areas as a critical source of care for many rural and lower income communities. However, traditional Medicaid payment models have often constrained FQHCs’ ability to deliver high-quality, coordinated chronic disease care. In response, 40 state Medicaid programs have introduced Alternative Payment Models (APMs) to incentivize FQHCs to 1) improve patient health outcomes and 2) lower costs. While evidence suggests APMs may improve DM outcomes, the mechanisms by which FQHCs implement these models—and whether rural and urban clinics adapt differently—remain unknown. This K01 proposal directly supports NIDDK’s strategic goals in Dissemination and Implementation Research and Stakeholder Engagement by partnering with FQHCs to study real-time implementation of APMs and evidence-based practices (EBPs) in DM care. The project has three aims: (1) to identify APM and FQHC features that influence implementation and characterize EBP adoption through qualitative interviews; (2) to assess the association between APM/FQHC characteristics and implementation success via a national survey; and (3) to evaluate the impact of APM types on HBA1c control rates using Uniform Data System (UDS) data and a difference-in-differences design. Guided by the Consolidated Framework for Implementation Research (CFIR) and Proctor’s Implementation Outcomes Framework, this study will generate actionable insights for policymakers and FQHC leaders. It is innovative in its integration of policy analysis, implementation science, and health economics, and in its real-time collaboration with FQHCs undergoing APM transitions. The candidate Dr. Justin Markowski, an applied health economist with prior FQHC experience and a strong publication record on rural health policy and FQHCs, will receive mentored training in implementation science, qualitative methods, survey design, and chronic disease research. This training will prepare him to develop an R01 proposal to develop and test implementation strategies to overcome the challenges identified in this K01 proposal and help FQHCs improve diabetes health outcomes. In doing so, this work seeks to inform the design of future Medicaid APMs and support NIDDK’s mission to improve the health of rural and low-income patients with diabetes through healthcare innovation and the implementation of evidence-based practices in FQHCs.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $160,575 )
2026	2026	UNIVERSITY OF ILLINOIS	809 S MARSHFIELD AVE M/C 551	CHICAGO	IL	60612	COOK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	6/26/2026	NEW	$160,575
														Subtotal = $160,575

Grand Total All Awards = $160,575

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Exploring the Implementation of Medicaid Alternative Payment Models and Evidence Based Practices in Federally Qualified Health Centers to Improve Diabetes Health Outcomes

Award Number: K01DK147658

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 07/01/2026

PERIOD OF PERFORMANCE END DATE: 03/31/2029

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer