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The Medicaid Quality Withhold Scorecard: does pay-for-quality pay off?

Twenty states. Billions in capitation at risk. The first public accounting of how quality dollars are designed, who earns them back, and whether the measures actually move.

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THIS WEEK

The billion-dollar question nobody can answer

States put 1–3% of managed care capitation at risk for quality. Whether it works has no public answer — until now.

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CASE FILE

California sanctioned 20 of its 24 Medicaid plans

What public enforcement accounting looks like when a state actually does it.

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METHOD

How we grade: the Chuma Withhold Design Index

Six dimensions, every score cited to a primary document. Grades drop this fall.

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The Radar Digest. The week in Medicaid managed care — sourced, cited, summarized. Free.