tci Medicare Compliance & Reimbursement - 2007 Issue 25

PAY-FOR-PERFORMANCE: 'Combined Approach' To P4P May Work Best, Demo Results Indicate

Medicaid managed-care P4P demo reveals solutions for future programs.Providers won't cooperate with pay-for-performance (P4P) programs in Medicaid managed care if health plans don't offer up enough money, according to a P4P demonstration's results.Communication between providers and plans also played a crucial role in determining the results of the Local Initiative Rewarding Results Collaborative Demonstration, a 2003 through 2005 P4P demo that the California HealthCare Foundation and the Robert Wood Johnson Foundation funded. The demo focused on improving the timeliness of well-baby care.Researchers from Mathematica Policy Research detailed their conclusions from the P4P demo in a recent...

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