This report from Center for Health Care Strategies examines performance management strategies for fee-for-services Medicaid providers

From the report:  

While most states have well-developed performance measurement approaches for managed care, many are still determining how to best assess the quality of care provided to adults in fee-for-service (FFS) programs. These beneficiaries -- who typically have multiple chronic conditions and intense health needs -- represent under 30 percent of the nation's Medicaid population, yet account for approximately 80 percent of total Medicaid spending. Developing performance measurement strategies that address the quality and cost effectiveness of health care for the FFS population is imperative.

Full Report: Performance Measurement in Fee-for-Service Medicaid: Emerging Best Practices (PDF | 242 KB)  

Center for Health Care Strategies, Inc. (2010). Performance measurement in fee-for-service Medicaid: emerging best practices. Lind, A., Berenson, J., and Highsmith, N.