Urban Institute
Policy Program Manager
Urban Institute
Communications Manager
Urban Institute
Policy Assitant

Funding Home Visiting with a Pay for Outcomes Approach

June 28, 2019 - 4:09pm

The Bipartisan Budget Act of 2018 provides new authority for Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program awardees “to fund evidence-based home visiting on a pay for outcome basis.”1 Pay for outcomes (PFO) can refer to a range of strategies and financing methods that link government payments to improved outcomes and reduced costs. To learn from past and current PFO projects in home visiting, the Health Resources & Services Administration (HRSA) and the Administration for Children and Families (ACF) contracted with the Urban Institute and ICF International to convene a group of about 50 home visiting and PFO stakeholders in a full-day roundtable event on January 10, 2019. This report presents key takeaways from that convening.

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