Pay for Performance in Medicaid: Evidence from Three Natural Experiments.

ABSTRACT:

Objective

To examine the impact of pay for performance in Medicaid on the quality and utilization of care.

Data sources

Medicaid claims and encounter data in three intervention states (Pennsylvania, Minnesota, and Alabama) and three comparison states.

Study design

Difference-in-difference analysis with propensity score-matched comparison group. Primary outcomes of interest were Healthcare Effectiveness Data and Information Set (HEDIS)-like process measures of quality, utilization by service category, and ambulatory care-sensitive admissions and emergency department visits.

Principal findings

In Pennsylvania, there was a statistically significant reduction of 88 ambulatory visits per 1,000 enrollee months compared with Florida. In Minnesota, there was a signific

SUBMITTER: Rosenthal MB 

PROVIDER: S-EPMC4946046 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature