Monika Gulledge is a public health manager in the Center for Health Care Quality with an academic background in epidemiology. Much of her work focuses on primary care payment operations, policy and reform. She is skilled in scoring and reporting of quality and utilization measures in implementation projects.
Currently, Ms. Gulledge is contributing to projects centered on two alternative payment models. She leads the payment and attribution teams for the Comprehensive Primary Care Plus (CPC+) model. The aim of CPC+ is to strengthen primary care through multi-payer, regionally based payment reform and care delivery transformation. She conducts payment and attribution policy design, payment calculation, quality control, management, scoring of quality and utilization measures, and collaboration with a variety of stakeholders.
Ms. Gulledge also leads the CAHPS work for Accountable Care Organizations participating in the Medicare Shared Savings Program and for MIPS Groups. The Shared Savings Program is attempting to move CMS' payment system away from typical fee-for-service to promoting value and outcomes. Ms. Gulledge’s role involves working with a different contractor to implement a claims-based analysis to prepare the sampling frames for these groups.
Ms. Gulledge joined RTI in 2016. Her background includes research on HIV, sexually transmitted infections, and immunology in women. She has conducted experiments in a BSL-3 medical laboratory and has experience with medical record abstraction. She is a member of Delta Omega.