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In 2013, Connecticut Medicaid, HUSKY Health, established the pay for performance in obstetrics care program. The goals of the model are to improve overall care of pregnant women, newborn outcomes, and the incidence of avoidable mortality and morbidity (CTMAP 2014). 1 Under the model, obstetrical providers participating in Medicaid are eligible for bonus payments if they meet certain quality and access measures (CTMAP 2019). Under contract with MACPAC, RTI International conducted interviews and examined five states (Arkansas, Connecticut, Colorado, North Carolina, and Tennessee) implementing value-based payment initiatives to improve maternity care in Medicaid. This case study includes an overview of the Connecticut pay-for-performance model, details how the model is defined, describes the payment methodology, and summarizes the available research on the model’s effects on cost and quality.2 MACPAC has also published case studies for the other study states, as well as an issue brief summarizing the key findings (MACPAC 2021a–e).
