Medicaid P4P gains ground.
A new study by the Commonwealth Fund found that currently there are
Medicaid programs in nine states joining in regional pay-for-performance
(P4P) and quality improvement efforts. Arizona, Maine, Minnesota,
Kansas, New York, New Hampshire, Vermont, Washington and Oregon are the
current states, with others considering collaborations. Among the trends
found by the detailed national snapshot are that Health IT and
incentives for adoption of electronic health records and e-prescribing
are primary focus areas of many Medicaid P4P programs. Additionally,
more than 70 percent of planned new programs are expected to start in
the next two years and an equal number of existing programs operate in
managed care or primary care case management structures. The focus in
these environments is on children's, adolescent's and
women's health issues. Although few states have conducted formal
P4P evaluations, most Medicaid officials see the quality of care
improving as a result of the programs.