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Office of Planning, Research & Evaluation

An Office of the Administration for Children & Families

Funding Home Visiting with a Pay for Outcomes Approach

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2018 - 2019

Project Overview

The Administration for Children and Families (ACF) and Health Resources & Services Administration (HRSA) initiated the Funding Home Visiting with a Pay for Outcomes Approach project to learn from past and current projects in home visiting that utilize Pay for Outcomes (PFO). PFO represents a range strategies and financing methods that link government payments to improved outcomes and reduced costs. To support ACF and HRSA, ICF International and their subcontractor, the Urban Institute, convened a group of about 50 home visiting and PFO stakeholders for a full-day roundtable event on January 10, 2019. Roundtable attendees had the opportunity to share some of the challenges and successes experienced while implementing PFO projects.

Point(s) of contact: Amanda Clincy Coleman

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Funding Home Visiting with a Pay for Outcomes Approach

June 28, 2019

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The Bipartisan Budget Act of 2018 provides new authority for MIECHV awardees “to fund evidence-based home visiting on a pay for outcome basis.” Generally speaking, pay for outcomes (PFO) can refer to a range of strategies and financing methods that link government payments to improved outcomes and reduced costs. For example...