Improving timely childhood immunizations through pay for performance in Medicaid-managed care.

ABSTRACT:

Objective

To evaluate the impact of a "piece-rate" pay-for-performance (P4P) program aimed at rewarding up-to-date immunization delivery to 2-year-olds according to the recommended series.

Data sources/study setting

Plan-level data from New York State's Quality Assurance Reporting Requirement and claims data from Hudson Health Plan for 2003-2007. In 2003 Hudson Health Plan, a not-for-profit Medicaid-focused managed care plan, introduced a U.S.$200 bonus payment for each fully immunized 2-year-old and provided administrative supports for identifying children who may need immunization. This represented a potential bonus of 15-25 percent above base reimbursement for eligible 2-year-olds.

Study design

Case-comparison and interrupted times series.

Principal findings

SUBMITTER: Chien AT 

PROVIDER: S-EPMC3029849 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature