RFI: Adapting Pay-for-Success (PFS) Methods to Managed Care Incentives

The South Carolina Department of Health and Human Services (SCDHHS) seeks input on the design and focus of a new incentive payment program for managed care organizations (MCOs) that would reward demonstrated improvement in health and social outcomes for beneficiaries. The program would support innovative solutions that use preventive and population-based approaches to improve beneficiary outcomes, expand care coordination and address social determinants of health, and is intended to provide a financing opportunity for effective interventions that may not have previously been reimbursable.

Through this request for information (RFI), SCDHHS hopes to gain innovative insights from other entities, such as nonprofits, advocates, public sector agencies and other stakeholders, to support and inform its efforts to develop effective managed care incentives for improving beneficiary health and quality of life.

Responses are due by 5 p.m. EST Friday, Jan. 6, 2017. Responses should be submitted in Word or PDF format via email to fbo@scdhhs.gov. Questions regarding the RFI may be sent to the same address.

For more information and to review questions of interest and submission requirements, please read the full RFI for Adapting Pay-for-Success (PFS) Methods to Managed Care Incentives to Improve Health and Social Outcomes for Medicaid Beneficiaries.