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This program aimed to improve health care quality and reduce Medicaid costs for high-needs Medicaid recipients in New York by helping them use appropriate care that would reduce hospital admissions and emergency department visits. The program did not appear to reduce Medicaid costs or care from hospitals and emergency departments.
This brief essay by Gordon Berlin, first published by the Nonprofit Finance Fund, builds on MDRC’s experience as the intermediary in the nation’s first operational Social Impact Bond to describe three broad challenges facing the Pay for Success movement as it moves from promising concept to on-the-ground implementation.
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