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Payment by Results and Social Impact BondsOutcome-Based Payment Systems in the UK and US$
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Kevin Albertson, Chris Fox, Chris O'Leary, and Gary Painter

Print publication date: 2018

Print ISBN-13: 9781447340706

Published to Policy Press Scholarship Online: September 2018

DOI: 10.1332/policypress/9781447340706.001.0001

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Review of the evidence for outcome-based payment systems

Review of the evidence for outcome-based payment systems

(p.83) Five Review of the evidence for outcome-based payment systems
Payment by Results and Social Impact Bonds

Kevin Albertson

Chris Fox

Chris O’leary

Gary Painter

Kimberly Bailey

Jessica Labarbera

Policy Press

This chapter reviews the current state of evidence on what works in outcomes-based commissioning using published evaluations of Payment by Results (PbR) and Social Impact Bonds (SIBs) in the UK and SIBs in the US. Findings from these evaluations are arranged under the following broad headings: designing and commissioning, development of markets, performance management, innovation, the role of incentives, and overall outcomes. The evaluations address issues such as the complexity of PbR commissioning models compared to other commissioning exercises, the impact of PbR on the market for social goods, and the development of new or enhanced performance management systems as a result of outcomes-based commissioning. Two areas of innovation are also highlighted: innovation in service design and delivery, and innovation in financing.

Keywords:   outcomes-based commissioning, evaluation, Payment by Results, Social Impact Bonds, design, PbR, performance management, innovation, incentives, outcomes

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