MCO Perspectives on Medicaid Policy: Racial Equity in Pregnancy and Child Health.

ABSTRACT:

Introduction

In 2020 and 2021, Pennsylvania implemented the Equity Incentive Program and the Maternity Care Bundled Payment program, two unique pay-for-performance (P4P) programs that provide financial incentives for managed care organizations (MCOs) that make improvements in utilization and quality metrics for Black women and children. The current study addresses gaps in the research about MCO perceptions regarding the ability of financial policy incentives to improve racial health inequities.

Methods

Qualitative, semi-structured group interviews with representatives (n = 30) from the six Medicaid MCOs in Pennsylvania were completed in the summer of 2022. Data were thematically coded, using a preestablished codebook.

Results

Interviews with representatives fro

SUBMITTER: McClure C 

PROVIDER: S-EPMC11347871 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature