Making Pay-For-Performance Work in Medicaid

This study reports the results of an evaluation of a collaborative P4P effort among seven Medicaid-focused health plans in California during 2003–2005, known as the Local Initiative Rewarding Results (LIRR) Collaborative Demonstration.

Pay-for-Performance in State Medicaid Programs

This report examines the current and planned P4P activities of state Medicaid programs, based on a survey and follow-up interviews with state Medicaid directors and their staffs as well as review of related documents.

Medicare Payment of Telemedicine and Telehealth Services

This report provides a broad overview of Medicare payment policy regarding telemedicine and telehealth services.

Pay-for-Performance: Is Medicare a Good Candidate?

This articles discusses difficulties involved in designing an effective pay-for-performance (P4P) program, particuarly given the absence of research on the cost-effectiveness of P4P and different scenarios of providers' response to a P4P scheme. Furthermore, the author provides recommendations on how to bring the benefits of P4P to seniors while minimizing their exposure to harm as Medicare plans to expand its P4P efforts.

Medicaid Handbook - Medical Assistance and Telehealth: An Evolving Partnership

This document is intended to be utilized as a guide to be customized for the individual state initiative and used as a tool to develop an action plan for reimbursement for telemedicine services from State Medical Assistance payers.

Telemedicine for the Medicare Population

This report assesses specific telemedicine services that would substitute for face-to-face medical diagnosis and treatment of the Medicare population. It also summarizes scientific evidence on the efficacy, safety, and cost-effectiveness of these services; identifies gaps in the evidence; and makes recommendations for evaluating telemedicine services.

State Medicaid and Private Payer Reimbursement for Telemedicine: An Overview

This report provides an overivew of reimbursement changes for telemedicine programs by Medicaid and private payers in the U.S.

Medicare Pay for Performance (P4P) Initiatives

Centers for Medicare and Medicaid Services has initiated several Pay for Performance (P4P) projects for the healthcare providers - hospitals, physicians, and physician groups - to support quality improvement including better care coordination for the chronically ill.

Medicaid and Telemedicine in 2002

The authors of this report surveyed 51 state Medicaid programs to assess the extent of Medicaid payment policies for telemedicine services following the revised Medicare telemedicine reimbursement policies. Findings from this survey include 17 Medicaid state programs reimbursing for telemedicine services though many restrict payment for rural areas and different reimbursement based on the age of the Medicaid beneficiary.