Funding Home Visiting with a Pay for Outcomes Approach

Research Report

Funding Home Visiting with a Pay for Outcomes Approach


The Bipartisan Budget Act of 2018 provides new authority for Maternal, Infant, and Early Childhood Home Visiting program awardees “to fund evidence-based home visiting on a pay for outcome basis.” 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 and the Administration for Children and Families 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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