Blog

6 recommendations for governments transitioning to outcomes based contracting

Over the past three years, this blog covered a range of topics related to pay for success (PFS), including updates from the field, both locally and nationally, and practical advice on key phases and partners in PFS projects. Under the broader umbrella of performance-based strategies, outcomes-based contracting (OBC) describes a direct contract between government and service provider (no investor) that links a portion of payment directly to outcomes, as opposed to inputs and outputs. Our new Incentivizing Results brief provides an overview of OBC and enumerates the benefits, risks, and challenges with which it is associated, along with recommendations for governments interested in OBC.
Blog

Notes from the field: how exploring pay for success helped a health clinic strengthen its data systems

In Providence, Rhode Island, thousands of low-income, uninsured residents access primary care and health education services through Clinica Esperanza/Hope Clinic (CEHC), which provides free, culturally and linguistically attuned medical services to patients in the Greater Providence area. Like many small community-based organizations, CEHC constantly works to attract and maintain funding. But it had limited capacity to use data in order to demonstrate the effectiveness of services—key information that can help secure funding.
Blog

Using PFS to scale supportive housing: lessons learned and new directions

Permanent supportive housing is part of the solution to our country’s homelessness crisis. Although there is growing interest in supportive housing programs using Pay for Success financing, it can be difficult to get PFS projects off the ground. The full version of this post is available at Policies for Action’s P4A Spark blog, where researchers are actively investigating how Pay for Success can be used to address key social determinants of health.
Blog

Using pay for success to improve outcomes for transitional youth

Transitional youth are young people ages 16 to 24 who leave foster care without being adopted or reunited with their biological families and/or who are involved in the juvenile justice system–around 15 percent of the total foster care population in 2016. With childhoods often marked by trauma and a lack of stability, transitional youth face poor outcomes across many areas of life.
Blog

SIPPRA NOFA: An investor’s perspective

Pay for success (PFS) projects bring together a host of stakeholders aimed at improving outcomes for a specific population. Today we highlight the role of one of the key stakeholders: private investors.