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.
Amount Awarded $400,000.00
Awarded on: 11/18/2008
Time frame: 12/1/2008 - 3/31/2012
Grant Number: 65459