Measuring the impact of California's Medicaid health plan pay-for-performance on quality and disparities

This project will examine the impact on quality and disparities of the pay-for-performance program implemented in California Medicaid. The California model of targeting incentives at managed care plans is used in 20 out of 28 states with a current Medicaid pay-for-performance program, and eight other states either use or plan to implement a similar incentive strategy. There has been little research on the success of these programs, and therefore the findings will be relevant to Medicaid stakeholders nationally. The key objectives are: (1) to examine trends in overall quality and disparities for incentivized and non-incentivized conditions before and after pay-for-performance implementation; (2) to measure the impact of pay-for-performance on quality and disparities for incentivized and non-incentivized conditions in a quasi-experimental controlled before-and-after study; (3) to describe quality improvement strategies associated with successful reductions in disparities; and (4) to develop routine data measures of disparities for use in state-led quality improvement and pay-for-performance.

Grant Details

Amount Awarded $400,000.00

Awarded on: 11/18/2008

Time frame: 12/1/2008 - 3/31/2012

Grant Number: 65459


University of California, San Francisco

513 Parnassus Avenue
San Francisco, CA, 94143-2205


Andrew B. Bindman
Project Director


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