Evaluation of the Local Initiative Rewarding Results Demonstration

The evaluation of the Local Initiative Rewarding Results (LIRR) demonstration is unique among national research projects focused on pay-for-performance in its focus on the Medicaid environment. The five California Medicaid health that implemented incentives under the demonstration targeted two HEDIS measures for improvement of great importance to the Medicaid population—adolescent well-care visits and well-baby visits by age 15 months. The health plans used various combinations of financial and non-financial incentives to encourage improvement.

The evaluation included collecting data from the plans each year through a data tracking tool; analysis of provider-level encounter data; continuing review of key documents and developments; two waves of stakeholder interviews with plan officials, providers, and others; and feedback to plans and funders. The demonstration was part of the national “Rewarding Results” grant program sponsored by the Robert Wood Johnson Foundation and the California HealthCare Foundation.

"Evaluation of the Local Initiative Rewarding Results Collaborative Demonstration: Final Report" (October 2006)

"Evaluation of the Local Initiative Rewarding Results Collaborative Demonstration: Interim Report" (August 2005)

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