Robert Wood Johnson Foundation Awards AAPCHO $400,000 to Study Impact of Pay-for-Performance Healthcare Model

January 5, 2009

[Archive] Stacy Lavilla
Director of Communications
(510) 272-9536 x110

First Study to Evaluate Pay-for-Performance Healthcare Model in Low-Income AAPI Populations; Emphasizing Team-Based Treatment and Health Outcomes over Processes

OAKLAND, CA—January 5, 2009–The Association of Asian Pacific Community Health Organizations (AAPCHO) announced today it received a $400,000 grant from the Robert Wood Johnson Foundation to examine the effects of a new pay-for-performance health care model on Asian American, Native Hawaiian and other Pacific Islander (AA & NHOPI) populations served by community health centers. Partnered with the National Association of Community Health Organizations (NACHC), AAPCHO will be collaborating with five of its twenty-five member organizations to conduct this research.

Currently, most pay-for-performance (P4P) programs reward physicians for administering specific medical processes (e.g., testing for diabetes) rather than patient health outcomes (i.e., if the patient’s condition actually improves). Recognizing that health care providers at community health centers often provide critical services and programs that extend beyond purely medical treatment, AAPCHO’s three-year study will evaluate a new P4P model that takes health outcomes into account and also rewards entire teams of care providers. This would include teams of professionals who provide culturally and linguistically appropriate non-clinical enabling services, such as interpretation, financial counseling and health education.

“We view this program as an exciting first step in proving what we’ve known for many years –the community health center model of care, which goes beyond just treating a patient’s condition, is one that leads to better health,” said Jeffrey Caballero, executive director at AAPCHO. He continued, “The results of this study will no doubt contribute to reducing health disparities for high-risk AA&NHOPI communities by providing a team-focused and culturally appropriate P4P model to guide policy makers, health organizations, and health plans serving them.”

Specifically, the three-yearlong project will examine how financial rewards directed at improving HbA1c (blood sugar) levels in diabetic patients and reducing their ER and hospitalization rates actually result in better patient outcomes. A key part of this process will compare the incentivized community health centers (CHCs), which provide culturally and linguistically appropriate team-based care, to a similar patient population at non-P4P participating community health centers. The four participating CHCs are Bay Clinic Inc., Kalihi-Palama Health Center, Waianae Coast Comprehensive Health Center, and Waimanalo Health Center. AlohaCare, a nonprofit CHC-governed health plan in Hawaii, will play a central role by managing and distributing the incentives throughout the study using its advanced health information technologies.

CHCs care for a disproportionate number of minority patients, including nearly 538,000 AA & NHOPIs, and often do so through programs that go beyond the medical model of care. AAPCHO’s member centers provide comprehensive primary care to more than 300,000 medically underserved individuals, 80% of whom are uninsured or underinsured, regardless of their ability to pay.

The Association of Asian Pacific Community Health Organizations (AAPCHO) is a national association of twenty-five community-based organizations serving Asian Americans, Native Hawaiians and other Pacific Islanders in the U.S, its territories and freely associated states. For more information on AAPCHO and its Guiding Principles and Values, please visit

Media Relations

Beverly Quintana
(510) 272-9536 x112

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