Analysis raises questions on whether pay-for-performance in Medicaid can efficiently reduce racial and ethnic disparities

Jan Blustein, Joel S. Weissman, Andrew M. Ryan, Tim Doran, Romana Hasnain-Wynia

Research output: Contribution to journalArticlepeer-review

Abstract

In 2006 Massachusetts took the novel approach of using pay-for-performance-a payment mechanism typically used to improve the quality of care-to specifically target racial and ethnic disparities in hospital care for Medicaid patients. We describe the challenges of implementing such an ambitious effort in a short time frame, with limited resources. The early years of the program have yielded little evidence of racial or ethnic disparity in hospital care in Massachusetts, and raise questions about whether pay-for-performance as it is now practiced is a suitable tool for addressing disparities in hospital care.

Original languageEnglish (US)
Pages (from-to)1165-1175
Number of pages11
JournalHealth Affairs
Volume30
Issue number6
DOIs
StatePublished - Jun 2011

ASJC Scopus subject areas

  • Health Policy

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