Payment policies often discourage health care providers from investing in quality-enhancing interventions. For this project, investigators will conduct in-depth financial analyses of six to eight Medicaid managed care organizations or state primary care case management programs to quantify the financial gap that must be closed to make certain health care interventions feasible. Project staff will select interventions that have been scientifically proven to be effective and are likely to yield financial payoffs for at least one party-the provider, the plan, or the state. This work will yield a robust method for analyzing the business case for quality improvement generally, as well as recommendations specifically for eliminating barriers to improvement in Medicaid. http://www.unc.edu/