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  • Title: Making pay-for-performance work in Medicaid.
    Author: Felt-Lisk S, Gimm G, Peterson S.
    Journal: Health Aff (Millwood); 2007; 26(4):w516-27. PubMed ID: 17595198.
    Abstract:
    Findings from a Medicaid pay-for-performance (P4P) demonstration suggest that "money talks" only sometimes, when supportive program elements give it voice. In this paper we examine five Medicaid-focused health plans that implemented new financial incentives for physicians to improve the timeliness of well-baby care. By contrasting the experiences of plans with better and worse outcome trends, we identify key program features--including strong communication with providers and placing enough dollars at stake to compensate providers for the effort required to obtain them--taking into account the starting point. The findings also highlight barriers to improvement that future Medicaid P4P efforts should consider.
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