Evaluating the Impact of a Novel Pay-for-Performance Program in a Medicaid Managed Care Plan


The mixed results that pay-for-performance programs have produced so far signal the need for better payment incentive designs. Hudson Health Plan, a Medicaid managed care plan in New York State, has implemented a novel design that matches rewards not with the care provided to a population of patients, but rather with the care provided to each individual patient. To improve childhood immunization rates, the plan gives providers a fixed-dollar bonus for each child receiving timely immunizations. For this project, the investigators will evaluate the program's effectiveness in improving overall quality of care by examining plan data from 2002 to 2007 and by surveying providers. The project team will also determine if the incentive program has had any impact on racial/ethnic disparities in immunization rates, and on the safety net providers who care for minority patients.

Grant Details

Grantee Organization:
Harvard School of Public Health
Principal Investigator:
Meredith B. Rosenthal
Award Amount:
Approval Date:
July 10, 2007

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