Provider Incentives

State purchasers and Medicaid managed care plans across the country are developing innovative ways to link reimbursement to appropriate processes, quality, and outcomes. CHCS is working with states and health plans to align payment to reward quality and to adapt pay-for-performance approaches to the Medicaid delivery system.

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Title and Description	Date	Type
Provider Incentive Programs: An Opportunity for Medicaid to Improve Quality at the Point of Care This resource paper highlights provider-incentive approaches for states to consider based on the efforts of three Pay-for-Performance Purchasing Institute participants and two additional states that are seeking to improve alignment around Medicaid provider incentive programs.	March 2009	Resource Papers
Creating Provider-Level Pay-for-Performance Programs in Medicaid Through this CHCS webinar, states, health plans, and providers learned how Medicaid programs can influence quality at the point of care through provider-level P4P strategies.	July 2008	Webinar Resources
Physician-Level Pay-for-Performance: A Dashboard Report of State Program Design Efforts This dashboard reflects the program goals, structure and progress of five states that are working with CHCS to design sophisticated provider incentive programs.	April 2008	Technical Assistance Briefs & Tools
Using Pay-for-Performance to Support HIT Efforts in Missouri Missouri, one of seven states participating in the Center for Health Care Strategies Pay-for-Performance Purchasing Institute, developed an innovative P4P program that encourages providers to adopt a web-based care plan to improve the efficiency and delivery of chronic care.	April 2008	Case Studies
Pay-for-Performance Purchasing Institute: Meeting Two Presentations This meeting brought participating states together with expert faculty to discuss their progress in developing and implementing physician-levels incentive programs.	November 2007	Meeting Highlights
Letter from CMS: State Options for Pursuing Physician Level P4P in Medicaid This letter provides clarification on issues related to payment to managed care organizations, incentives to physicians in risk-based managed care programs, and alternate payment methodologies for Federally Qualified Health Centers.	October 2007	Technical Assistance Briefs & Tools
Physician Pay-for-Performance in Medicaid: A Guide for States This guide offers actionable steps to help states design and implement physician-level P4P strategies.	March 2007	Reports
Evaluation of the Local Initiative Rewarding Results Collaborative Demonstrations: Final Report The Local Initiative Rewarding Results Collaborative included seven “local initiative” low-income-focused health plans in California and was part of the national Rewarding Results demonstration program sponsored by the Robert Wood Johnson Foundation and the California HealthCare Foundation. This report provides the final results of the evaluation.	October 2006	Reports
Pay-for-Performance Purchasing Institute: Meeting One Presentations Download faculty presentations from this October 2006 Pay-for-Performance Purchasing Institute, which focused on developing provider-level incentive programs	October 2006	Meeting Highlights
Pay-for-Performance Purchasing Institute July 2006 - June 2008	July 2006	Initiative
Pay-for-Performance: A Decision Guide for Purchasers This guide, published by the Agency for Healthcare Research and Quality, is intended to be used by public and private purchasers of health care services who are considering sponsorship of a pay-for-performance initiative.	April 2006	Technical Assistance Briefs & Tools
Inland Empire Health Plan: Using Performance Incentives to Improve Preventive and Chronic Care Inland Empire Health Plan, a nonprofit HMO in California's Riverside and San Bernardino counties, is a veteran among Medicaid health plans in its use of provider incentives.	March 2006	Case Studies
Rewarding Performance in Medicaid Managed Care This CHCS Brief outlines eight key considerations for designing performance incentive programs in Medicaid managed care based on the experiences of seven California-based health plans that piloted provider incentives.	March 2006	Policy & Issue Briefs
Pay-for-Performance: Innovations from the Medicaid and Commercial Sectors Download resources from this CHCS webinar, which discussed new strategies for aligning provider incentives with higher quality care based on the experiences of innovative pilot projects in Medicaid and the commercial sector.	February 2006	Webinar Resources