Connecticut Medicaid established the pay for performance in obstetrics care program in 2013. The goals of the model are to improve overall care of pregnant women, newborn outcomes, and the incidence of avoidable mortality and morbidity. Under the model, obstetrical providers participating in Medicaid are eligible for bonus payments if they meet certain quality and access measures.
This fact sheet includes an overview of the model, details how the model is designed, describes the payment methodology, and summarizes the available research on the model’s effect on cost and quality.